Individual
GABRIELLE SQUILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 S BROAD ST, PHILADELPHIA, PA 19148-3542
(215) 952-9000
Mailing address
2108 S FRONT ST, PHILADELPHIA, PA 19148-3402
(215) 279-2294
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
706533
PA
Other
Enumeration date
07/19/2025
Last updated
07/30/2025
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