Provider Demographics
NPI:1225733678
Name:GABRIEL, SANDRA (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15634 SW 16TH CT
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-2348
Mailing Address - Country:US
Mailing Address - Phone:786-378-0227
Mailing Address - Fax:863-983-2217
Practice Address - Street 1:15634 SW 16TH CT
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-2348
Practice Address - Country:US
Practice Address - Phone:786-378-0227
Practice Address - Fax:863-983-2217
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-04
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9173368163W00000X
FLAPRN11025599363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse