Individual provider · Type 1 NPI

Gabriel Ian Pedelty Ovsiew, MA

Student in an Organized Health Care Education/Training Program · Blaine, TN

NPI number 1447178686 Active

Practice location

880 Rutledge Pike
Blaine, TN 37709-2317

Call (865) 933-4110 Map

Fax (865) 933-4729

Mailing address

1923 Sulphur Springs Rd
Morristown, TN 37813-5654

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1447178686

Gabriel Ian Pedelty Ovsiew, MA's National Provider Identifier is 1447178686, issued on Jul 7, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Blaine, TN. The record was last updated on Jul 7, 2026.