Healthcare Provider Details

I. General information

NPI: 1992249007
Provider Name (Legal Business Name): GABRIELLE HECKMAN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GABRIELLE DAVID CRNA

II. Dates (important events)

Enumeration Date: 12/08/2016
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 JACKSON ST
DENVER CO
80206-2761
US

IV. Provider business mailing address

3331 OAK ST
WHEAT RIDGE CO
80033-5458
US

V. Phone/Fax

Practice location:
  • Phone: 303-388-4461
  • Fax: 303-398-1211
Mailing address:
  • Phone: 205-356-5246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPN.0993863-CRNA
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: