Provider Demographics
NPI:1477533156
Name:MARLOW, GABRIELLE S (RD)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:S
Last Name:MARLOW
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:SNYDER
Other - Last Name:MARLOW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 30170
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-7170
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:501 W 14TH ST
Practice Address - Street 2:WILMINGTON HOSPITAL GATEWAY BUILDING
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1013
Practice Address - Country:US
Practice Address - Phone:302-661-3000
Practice Address - Fax:302-661-3470
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEDN0000217133N00000X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEP87273Medicare UPIN
DE011414C49Medicare PIN