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NPI Code Detail

MEDICARE: GABRIELLE MISENHEIMER CNM

MEDICARE: GABRIELLE MISENHEIMER CNM
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
1367A00000XAdvanced Practice MidwifeAP123640TX

General Provider Information

NPI Number : 1356715981
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLE MISENHEIMER CNM
Provider Business Mailing Address
First Line : 1107 E MARSHALL AVE
Second Line :
City : LONGVIEW
State : TX
Zip : 75601-5602
Country : US
Telephone Number : 903-758-2610
Fax Number : 903-758-7081
Provider Business Practice Location Address
First Line : 705 E MARSHALL AVE STE 3000
Second Line :
City : LONGVIEW
State : TX
Zip : 75601-5661
Country : US
Telephone Number : 903-758-2610
Fax Number : 903-758-7081
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2015
Last Update Date : 08/26/2025

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Directions to “ GABRIELLE MISENHEIMER CNM” Practice Location

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