MEDICARE: DEBORAH C GAEBLER 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
1	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	AP3005789	WA
2	363L00000X	Nurse Practitioner	AP30005789	WA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP30005789	WA

Other Identifiers

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

General Provider Information

NPI Number	:	1669477451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH C GAEBLER ARNP

Provider Business Mailing Address
First Line	:	615 W TITUS ST
Second Line	:
City	:	KENT
State	:	WA
Zip	:	98032-5749
Country	:	US
Telephone Number	:	206-302-2200
Fax Number	:	206-302-2210

Provider Business Practice Location Address
First Line	:	6100 SOUTHCENTER BLVD
Second Line	:
City	:	TUKWILA
State	:	WA
Zip	:	98188-2442
Country	:	US
Telephone Number	:	206-458-3963
Fax Number	:

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	03/25/2025

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