Individual
MRS. JENNIFER MARIA GABRIELATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11133 DUNN RD., ST. LOUIS, MO 63136
(314) 653-5000
Mailing address
11133 DUNN RD, SAINT LOUIS, MO 63136-6163
(314) 653-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.376376
IL
163W00000X
Registered Nurse
2011016184
MO
367500000X
Certified Registered Nurse Anesthetist
2017003247
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
209015721
IL
Other
Enumeration date
09/01/2016
Last updated
11/21/2022
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