Provider Demographics
NPI:1538313879
Name:MORNINGSTAR, GABRIELLE (RN)
Entity Type:Individual
Prefix:MS
First Name:GABRIELLE
Middle Name:
Last Name:MORNINGSTAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:RENEE
Other - Middle Name:LYNNE
Other - Last Name:HANKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:32922 LYNX HOLLOW RD.
Mailing Address - Street 2:
Mailing Address - City:CRESWELL
Mailing Address - State:OR
Mailing Address - Zip Code:97426
Mailing Address - Country:US
Mailing Address - Phone:541-942-2032
Mailing Address - Fax:
Practice Address - Street 1:32922 LYNX HOLLOW RD
Practice Address - Street 2:
Practice Address - City:CRESWELL
Practice Address - State:OR
Practice Address - Zip Code:97426
Practice Address - Country:US
Practice Address - Phone:541-942-2032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR085081612RN163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics