GABRIELLE MAUREEN REYNOLDS


Address: 12755 Sw 47th St, Miramar, FL 33027-6053
Phone: 9542742591

GABRIELLE MAUREEN REYNOLDS (NPI# 1043778947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043778947
Entity Type Individual
Full Name GABRIELLE MAUREEN REYNOLDS
Credential NURSE PRACTITIONER
Practice Address 12755 Sw 47th St
Miramar
FL 33027-6053
Practice Telephone 9542742591
Mailing Telephone 9542742591
Enumeration Date 2019-03-09
Last Update Date 2019-06-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
AG03190022 FL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 12755 SW 47TH ST
City MIRAMAR
State FL
Zip Code 33027-6053

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City MIRAMAR
Zip Code 33027

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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