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NPI Code Detail

MEDICARE: MRS. CONSTANCE L GABLE ARNP

MEDICARE: MRS. CONSTANCE L GABLE ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerNP5090CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154319507
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CONSTANCE L GABLE ARNP
Provider Business Mailing Address
First Line : 550 W HWY 50
Second Line :
City : SALIDA
State : CO
Zip : 81201-2238
Country : US
Telephone Number : 719-530-2048
Fax Number : 719-530-2055
Provider Business Practice Location Address
First Line : 28374 COUNTY ROAD 317
Second Line :
City : BUENA VISTA
State : CO
Zip : 81211-9158
Country : US
Telephone Number : 719-530-2048
Fax Number : 719-530-2055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 06/17/2015

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Directions to “ MRS. CONSTANCE L GABLE ARNP” Practice Location

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