Provider Demographics
NPI:1194020784
Name:MCGOWAN, GABRIELLA LOUISE (CRNA)
Entity Type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:LOUISE
Last Name:MCGOWAN
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:9000 FRANKLIN SQUARE DR
Mailing Address - Street 2:DEPARTMENT OF ANESTHESIOLOGY
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3901
Mailing Address - Country:US
Mailing Address - Phone:443-777-7179
Mailing Address - Fax:443-777-8242
Practice Address - Street 1:9000 FRANKLIN SQUARE DR
Practice Address - Street 2:DEPARTMENT OF ANESTHESIOLOGY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-3901
Practice Address - Country:US
Practice Address - Phone:443-777-7179
Practice Address - Fax:443-777-8242
Is Sole Proprietor?:No
Enumeration Date:2011-01-13
Last Update Date:2013-09-08
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Provider Licenses
StateLicense IDTaxonomies
MDR172783367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered