MARY JUDE GABRIELSON CFNP NPI 1356331573

NPI Information

Mary Jude Gabrielson, CFNP is a pediatrics nurse practitioner in San Ramon, CA. Mary Jude Gabrielson, CFNP NPI is 1356331573. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 PORTER DRIVE
SUITE 300
SAN RAMON, CA
ZIP 94583-524
Phone: (925) 838-6500
Fax: (925) 838-6542

The NPI 1356331573 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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