Healthcare Provider Details

I. General information

NPI: 1184423717
Provider Name (Legal Business Name): GABRIELLE GIERINGER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 03/07/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 N WALNUT ST
BOYERTOWN PA
19512-1736
US

IV. Provider business mailing address

PO BOX 255
OLEY PA
19547-0255
US

V. Phone/Fax

Practice location:
  • Phone: 610-367-2259
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA066465
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: