Individual provider · Type 1 NPI
Gabrielle Villali
Pediatric Nurse Practitioner · New York, NY
NPI number
1699557124
Active
Practice location
1176 5th Ave
New York, NY 10029-6503
Mailing address
248 Navesink Ave
Highlands, NJ 07732-1607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | F383564-01 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1699557124
Gabrielle Villali's National Provider Identifier is 1699557124, issued on Oct 18, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Nov 4, 2023.