Individual
FAYTHE ANGELIGUE GABRIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7405 RENNER RD, SHAWNEE, KS 66217-9414
(913) 588-1227
Mailing address
7405 RENNER RD, SHAWNEE, KS 66217-9414
(913) 588-1227
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014005307
MO
Other
Enumeration date
03/17/2014
Last updated
10/15/2024
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