Healthcare Provider Details

I. General information

NPI: 1881266880
Provider Name (Legal Business Name): GABRIELA URBINA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2021
Last Update Date: 02/06/2023
Certification Date: 02/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 WOODSIDE PARK LN
DURHAM NC
27704-6029
US

IV. Provider business mailing address

1011 WOODSIDE PARK LN
DURHAM NC
27704-6029
US

V. Phone/Fax

Practice location:
  • Phone: 214-783-1672
  • Fax:
Mailing address:
  • Phone: 214-783-1672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11015860
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number859178
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: