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NPI Code Detail

MEDICARE: GABRIELLE MIRABELLA CRABTREE PA-C

MEDICARE: GABRIELLE MIRABELLA CRABTREE PA-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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1801618871
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLE MIRABELLA CRABTREE PA-C
Provider Business Mailing Address
First Line : 727 BELL RD
Second Line : APT 1607
City : ANTIOCH
State : TN
Zip : 37013-8034
Country : US
Telephone Number : 423-509-4801
Fax Number :
Provider Business Practice Location Address
First Line : 616 MARRIOTT DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-5048
Country : US
Telephone Number : 629-802-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2024
Last Update Date : 01/14/2026

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Directions to “ GABRIELLE MIRABELLA CRABTREE PA-C” Practice Location

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