Individual
SUSAN GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 E JOLLY RD, LANSING, MI 48910-6818
(517) 346-8410
Mailing address
375 APPLE TREE DR, IONIA, MI 48846-7506
(616) 527-1790
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
6801081022
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704136595
MI
Other
Enumeration date
04/07/2006
Last updated
04/30/2010
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