Provider Demographics
NPI:1437828019
Name:NUELLE, GABRIELLE (RN)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:NUELLE
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 1:2899 S 34TH ST APT 310
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-6530
Mailing Address - Country:US
Mailing Address - Phone:701-330-4191
Mailing Address - Fax:
Practice Address - Street 1:2899 S 34TH ST APT 310
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-6530
Practice Address - Country:US
Practice Address - Phone:701-330-4191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant