Healthcare Provider Details

I. General information

NPI: 1134341522
Provider Name (Legal Business Name): DOROTHY A GABRELS APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 OLD HAMILTON PLACE NE
GAINESVILLE GA
30507
US

IV. Provider business mailing address

4662 WINDSOR DRIVE
FLOWERY BRANCH GA
30542
US

V. Phone/Fax

Practice location:
  • Phone: 770-532-2066
  • Fax:
Mailing address:
  • Phone: 770-287-1587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN143523NP
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: