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NPI Code Detail

MEDICARE: IVY JOYCE GABAI ARNP

MEDICARE: IVY JOYCE GABAI 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
1363LA2200XAdult Health Nurse Practitioner139600MA
2363LF0000XFamily Nurse Practitioner038134-23NH

Other Identifiers

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

General Provider Information

NPI Number : 1841392024
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVY JOYCE GABAI ARNP
Provider Business Mailing Address
First Line : 69 MACK HILL RD
Second Line :
City : AMHERST
State : NH
Zip : 03031-3225
Country : US
Telephone Number : 603-305-6648
Fax Number :
Provider Business Practice Location Address
First Line : 140 QUEEN CITY AVE
Second Line :
City : MANCHESTER
State : NH
Zip : 03103-7122
Country : US
Telephone Number : 603-622-3020
Fax Number : 603-621-4295
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 08/26/2021

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