Individual provider · Type 1 NPI

Gabrielle Domenica Fazio, FNP-BC

Family Nurse Practitioner · San Diego, CA

NPI number 1104520360 Active

Practice location

5651 Copley Dr
San Diego, CA 92111-7903

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704326001 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1104520360

Gabrielle Domenica Fazio, FNP-BC's National Provider Identifier is 1104520360, issued on Mar 29, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Mar 27, 2026.