MEDICARE: GABRIELA AOLANI TOVAR FNP-C

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
1	363LF0000X	Family Nurse Practitioner	1139688	TX

General Provider Information

NPI Number	:	1417739061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELA AOLANI TOVAR FNP-C

Provider Business Mailing Address
First Line	:	702 E CALTON RD STE 101
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78041-3988
Country	:	US
Telephone Number	:	956-728-8255
Fax Number	:	956-728-7719

Provider Business Practice Location Address
First Line	:	702 E CALTON RD
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78041-3988
Country	:	US
Telephone Number	:	956-728-8255
Fax Number	:	956-728-7719

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2023
Last Update Date	:	04/21/2026

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