Provider Demographics
NPI:1609270636
Name:ARAGON, GABRIELLE QUIRAO (FNP)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:QUIRAO
Last Name:ARAGON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:ASHLEIGH
Other - Last Name:QUIRAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:275 S ASPEN ST BLDG 600
Mailing Address - Street 2:
Mailing Address - City:BUCKLEY AFB
Mailing Address - State:CO
Mailing Address - Zip Code:80011-9562
Mailing Address - Country:US
Mailing Address - Phone:720-847-4239
Mailing Address - Fax:
Practice Address - Street 1:275 S ASPEN ST
Practice Address - Street 2:
Practice Address - City:BUCKLEY AFB
Practice Address - State:CO
Practice Address - Zip Code:80011-9562
Practice Address - Country:US
Practice Address - Phone:720-847-4239
Practice Address - Fax:720-847-6249
Is Sole Proprietor?:No
Enumeration Date:2014-10-20
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19257363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily