Provider Demographics
NPI:1083478978
Name:TEMTE, GABRIELLE (FNP)
Entity Type:Individual
Prefix:MS
First Name:GABRIELLE
Middle Name:
Last Name:TEMTE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 CAGNEY LN APT 216
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-2678
Mailing Address - Country:US
Mailing Address - Phone:508-244-7666
Mailing Address - Fax:
Practice Address - Street 1:351 HOSPITAL RD STE 316
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3505
Practice Address - Country:US
Practice Address - Phone:949-642-5775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95028661363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily