Healthcare Provider Details

I. General information

NPI: 1760926869
Provider Name (Legal Business Name): GABRIELLA CAITLIN PRICE LM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2016
Last Update Date: 01/12/2023
Certification Date: 01/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5131 COLBY AVE STE B
EVERETT WA
98203-3355
US

IV. Provider business mailing address

PO BOX 4416
EVERETT WA
98204-0042
US

V. Phone/Fax

Practice location:
  • Phone: 425-405-0278
  • Fax: 425-332-7026
Mailing address:
  • Phone: 425-405-0278
  • Fax: 425-332-7026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: