Healthcare Provider Details

I. General information

NPI: 1992615579
Provider Name (Legal Business Name): GABRIELLA ROSE PANAGAKOS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

387 QUARRY ST STE 100
FALL RIVER MA
02723-1026
US

IV. Provider business mailing address

387 QUARRY ST STE 100
FALL RIVER MA
02723-1026
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-8111
  • Fax:
Mailing address:
  • Phone: 508-679-8111
  • Fax: 508-730-2763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN10049253
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: