Provider Demographics
NPI:1326829862
Name:BEINSCHROTH, GABRIELLE E (FNP)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:E
Last Name:BEINSCHROTH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16143 KOKANEE RD STE C
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-1355
Mailing Address - Country:US
Mailing Address - Phone:760-242-6442
Mailing Address - Fax:
Practice Address - Street 1:16143 KOKANEE RD STE C
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-1355
Practice Address - Country:US
Practice Address - Phone:760-242-6442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95027006363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily