MEDICARE: GABRIELLE ANN PESSEFALL

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1528945995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLE ANN PESSEFALL

Provider Business Mailing Address
First Line	:	831 E 2ND ST
Second Line	:
City	:	DEFIANCE
State	:	OH
Zip	:	43512-2325
Country	:	US
Telephone Number	:	419-551-4610
Fax Number	:

Provider Business Practice Location Address
First Line	:	831 E 2ND ST
Second Line	:
City	:	DEFIANCE
State	:	OH
Zip	:	43512-2325
Country	:	US
Telephone Number	:	419-551-4610
Fax Number	:

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

Provider Enumeration Date	:	08/18/2025
Last Update Date	:	08/18/2025

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Directions to “ GABRIELLE ANN PESSEFALL ” Practice Location

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