Provider Demographics
NPI:1306380902
Name:MCGEE, GABRIELLA ROSECHELLE
Entity Type:Individual
Prefix:MISS
First Name:GABRIELLA
Middle Name:ROSECHELLE
Last Name:MCGEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 NW 32ND ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-7921
Mailing Address - Country:US
Mailing Address - Phone:405-863-1326
Mailing Address - Fax:
Practice Address - Street 1:2209 NW 32ND ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-7921
Practice Address - Country:US
Practice Address - Phone:405-863-1326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker