Provider Demographics
NPI:1477961712
Name:MENESES, GABRIELLA (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:
Last Name:MENESES
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:GABRIELLA
Other - Middle Name:
Other - Last Name:LENTINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 HIGH ST # 211
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-2677
Mailing Address - Country:US
Mailing Address - Phone:508-740-9200
Mailing Address - Fax:
Practice Address - Street 1:4 HIGH ST # 211
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-2677
Practice Address - Country:US
Practice Address - Phone:978-303-1055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-31
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2292860163W00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse