Individual provider · Type 1 NPI

Gabrielle Rose Nesselrode, FNP

Nurse Practitioner · Laveen, AZ

NPI number 1316602832 Active

Practice location

5316 W Country Garden Ln
Laveen, AZ 85339-4520

Mailing address

4690 E Lavender Ln
Phoenix, AZ 85044-4824

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRNP262130 (AZ)
Nurse Practitioner 363L00000XF04210426 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1316602832

Gabrielle Rose Nesselrode, FNP's National Provider Identifier is 1316602832, issued on Nov 1, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Laveen, AZ. The record was last updated on Oct 24, 2025.