Provider Demographics
NPI:1326475310
Name:HARRIS, GABRIELLE ALEXIS (RN)
Entity Type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:ALEXIS
Last Name:HARRIS
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:PO BOX 25664
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23260-5664
Mailing Address - Country:US
Mailing Address - Phone:804-329-4600
Mailing Address - Fax:
Practice Address - Street 1:10401 DURYEA DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-1709
Practice Address - Country:US
Practice Address - Phone:804-329-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001244416163WC1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development