Provider Demographics
NPI:1477449957
Name:MCBRIDE, GABRIELLA ELAINE (PA-C)
Entity type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:ELAINE
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1201 GRAMPIAN BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-1900
Mailing Address - Country:US
Mailing Address - Phone:570-326-8723
Mailing Address - Fax:
Practice Address - Street 1:45 PARK DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:PA
Practice Address - Zip Code:17752-8533
Practice Address - Country:US
Practice Address - Phone:570-515-0952
Practice Address - Fax:570-515-0953
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant