MEDICARE: GABRIEL MCQUEEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator	24762	AK

General Provider Information

NPI Number	:	1770242935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIEL MCQUEEN

Provider Business Mailing Address
First Line	:	8601 E 11TH CT
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99504-2275
Country	:	US
Telephone Number	:	907-885-4327
Fax Number	:	907-222-9984

Provider Business Practice Location Address
First Line	:	8601 E 11TH CT
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99504-2275
Country	:	US
Telephone Number	:	907-884-0289
Fax Number	:	907-278-1268

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2021
Last Update Date	:	06/06/2026

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Directions to “ GABRIEL MCQUEEN ” Practice Location

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