Provider Demographics
NPI:1619523024
Name:SIBILIA, GABRIELLE M (PA-C)
Entity Type:Individual
Prefix:MS
First Name:GABRIELLE
Middle Name:M
Last Name:SIBILIA
Suffix:
Gender:F
Credentials:PA-C
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1645 SANDALWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-2492
Mailing Address - Country:US
Mailing Address - Phone:330-431-7187
Mailing Address - Fax:
Practice Address - Street 1:1645 SANDALWOOD DR
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-2492
Practice Address - Country:US
Practice Address - Phone:330-317-8971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-12
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical