Provider Demographics
NPI:1376183830
Name:MESZAROS, GABRIELA (ARNP)
Entity Type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:
Last Name:MESZAROS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 129TH PL NE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3326
Mailing Address - Country:US
Mailing Address - Phone:206-619-0565
Mailing Address - Fax:425-453-9391
Practice Address - Street 1:610 129TH PL NE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3326
Practice Address - Country:US
Practice Address - Phone:206-619-0565
Practice Address - Fax:425-453-9391
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61030293207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine