Healthcare Provider Details

I. General information

NPI: 1053275420
Provider Name (Legal Business Name): GABRIELLE ARTERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4050 MAIN ST
CONESTOGA PA
17516-9618
US

IV. Provider business mailing address

4050 MAIN ST
CONESTOGA PA
17516-9618
US

V. Phone/Fax

Practice location:
  • Phone: 717-945-4888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86375767
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: