MEDICARE: GABRIELA URBINA RN

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	367500000X	Certified Registered Nurse Anesthetist	APRN11015860	FL
2	163W00000X	Registered Nurse	859178	TX

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	:	1881266880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELA URBINA RN

Provider Business Mailing Address
First Line	:	1011 WOODSIDE PARK LN
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-6029
Country	:	US
Telephone Number	:	214-783-1672
Fax Number	:

Provider Business Practice Location Address
First Line	:	1011 WOODSIDE PARK LN
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-6029
Country	:	US
Telephone Number	:	214-783-1672
Fax Number	:

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

Provider Enumeration Date	:	07/11/2021
Last Update Date	:	02/06/2023

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