Healthcare Provider Details

I. General information

NPI: 1093184509
Provider Name (Legal Business Name): GABRIEL TOEPEL RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2015
Last Update Date: 08/15/2022
Certification Date: 08/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13701 E MISSISSIPPI AVE STE 200
AURORA CO
80012-3697
US

IV. Provider business mailing address

13701 E MISSISSIPPI AVE STE 200
AURORA CO
80012-3697
US

V. Phone/Fax

Practice location:
  • Phone: 303-398-6340
  • Fax:
Mailing address:
  • Phone: 303-398-6340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1683803
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: