Provider Demographics
NPI:1194815027
Name:ANDREANI-FABRONI, GABRIELLE MARIE (RN)
Entity Type:Individual
Prefix:MS
First Name:GABRIELLE
Middle Name:MARIE
Last Name:ANDREANI-FABRONI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 416, BOX 1027
Mailing Address - Street 2:
Mailing Address - City:ILLESHEIM
Mailing Address - State:BAVARIA
Mailing Address - Zip Code:09140
Mailing Address - Country:DE
Mailing Address - Phone:467-4512
Mailing Address - Fax:
Practice Address - Street 1:ILLESHEIM HEALTH CLINIC
Practice Address - Street 2:BOX C
Practice Address - City:APO
Practice Address - State:BAVARIA
Practice Address - Zip Code:09140
Practice Address - Country:DE
Practice Address - Phone:467-4512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR142880163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse