Healthcare Provider Details

I. General information

NPI: 1376306308
Provider Name (Legal Business Name): GABRIELA LOWE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2024
Last Update Date: 09/20/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8941 SHAFFER DR
POWELL OH
43065-6017
US

IV. Provider business mailing address

487 ALDEN AVE APT D
COLUMBUS OH
43201-1379
US

V. Phone/Fax

Practice location:
  • Phone: 614-917-9629
  • Fax:
Mailing address:
  • Phone: 614-917-9629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: