Healthcare Provider Details

I. General information

NPI: 1750831913
Provider Name (Legal Business Name): GABRIELA FIERRO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2016
Last Update Date: 01/14/2023
Certification Date: 01/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2231 LINCOLN RD
BELLEVUE NE
68005-3907
US

IV. Provider business mailing address

2617 IZARD CT APT F
OMAHA NE
68131-1683
US

V. Phone/Fax

Practice location:
  • Phone: 402-291-1203
  • Fax:
Mailing address:
  • Phone: 818-518-4737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number73344
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number73344
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number93904
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: