Provider Demographics
NPI:1689373714
Name:GARDNER, GABRIELLE EVE (RN)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:EVE
Last Name:GARDNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18825 SE 164TH ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-0929
Mailing Address - Country:US
Mailing Address - Phone:206-992-8619
Mailing Address - Fax:
Practice Address - Street 1:13555 NE BEL RED RD
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2397
Practice Address - Country:US
Practice Address - Phone:206-901-2000
Practice Address - Fax:206-901-2010
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60415608163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse