Mary Jude Gabrielson in San Ramon - Pediatrics
Mary Jude Gabrielson - NPI 1356331573
Mary Jude Gabrielson is a Pediatrics in San Ramon, California. Mary Jude Gabrielson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary Jude Gabrielson is 1356331573. The last update date is 2007-07-08.
Mary Jude Gabrielson's current location address is 200 Porter Drive, San Ramon, California. You can contact this provider via phone number 9258386511 and fax number 9258386544. The mailing address for Mary Jude Gabrielson is 200 Porter Drive, San Ramon, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jude Gabrielson |
|---|---|
| Address | 200 Porter Drive, San Ramon, California |
| Phone Number | 9258386511 |
| Fax Number | 9258386544 |
| Sole Proprietor | X |
| Credentials | CFNP |
NPI Number Detail
| NPI Number | 1356331573 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 Porter Drive |
|---|---|
| City | San Ramon |
| State | California (CA) |
| Post Code | 945831524 |
| Phone Number | 9258386511 |
| Fax Number | 9258386544 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | NPF7083 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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What is the unique 10-digit identification code assigned to Mary Jude Gabrielson by the Centers for Medicare & Medicaid Services?
The Mary Jude Gabrielson has been issued the NPI (National Provider Identifier) 1356331573, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mary Jude Gabrielson?
The Mary Jude Gabrielson is physically situated at 200 Porter Drive, in the city of San Ramon, state of CA, with the postal code 945831524.
What is Mary Jude Gabrielson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Jude Gabrielson is Pediatrics, and the taxonomy code that classifies this field of practice is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1356331573 to Mary Jude Gabrielson?
The Centers for Medicare & Medicaid Services originally issued the 1356331573 to Mary Jude Gabrielson on 2005-10-27.
When was the information regarding Mary Jude Gabrielson most recently updated?
The details pertaining to the Mary Jude Gabrielson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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