Healthcare Provider Details

I. General information

NPI: 1992591341
Provider Name (Legal Business Name): GABRIELLE LEIGH KRUEGER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8173 GARDEN DR
PICKERINGTON OH
43147-7741
US

IV. Provider business mailing address

8173 GARDEN DR
PICKERINGTON OH
43147-7741
US

V. Phone/Fax

Practice location:
  • Phone: 614-906-5007
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN.CNP.0040211
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: