Healthcare Provider Details

I. General information

NPI: 1174672182
Provider Name (Legal Business Name): HELEN L. GABERT CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 12/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 RUIN CREEK RD
HENDERSON NC
27536-2929
US

IV. Provider business mailing address

2100 ERWIN RD DUKE UNIVERSITY MEDICAL CENTER - DUMC 3677
DURHAM NC
27710-0001
US

V. Phone/Fax

Practice location:
  • Phone: 919-620-4917
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number220549-01
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License Number185193-02
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number057589
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: