Healthcare Provider Details

I. General information

NPI: 1144099144
Provider Name (Legal Business Name): GABRIELLA CUNHA ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/01/2024
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 ROAD LESS TRAVELED WAY
SEQUIM WA
98382-9293
US

IV. Provider business mailing address

77 ROAD LESS TRAVELED WAY
SEQUIM WA
98382-9293
US

V. Phone/Fax

Practice location:
  • Phone: 360-504-6648
  • Fax:
Mailing address:
  • Phone: 360-504-6648
  • Fax: 360-504-2265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number61495580
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: