MEDICARE: GABRIEL TOVAR RN

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	163W00000X	Registered Nurse	1337647	VA

General Provider Information

NPI Number	:	1992651061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIEL TOVAR RN

Provider Business Mailing Address
First Line	:	1404 W BEVERLEY ST
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-3116
Country	:	US
Telephone Number	:	540-688-9681
Fax Number	:

Provider Business Practice Location Address
First Line	:	1404 W BEVERLEY ST
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-3116
Country	:	US
Telephone Number	:	540-688-9681
Fax Number	:

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

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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