Provider Demographics
NPI:1760253603
Name:MAGLIANO, GABRIELLE MICHELLE (RN CCM)
Entity Type:Individual
Prefix:MS
First Name:GABRIELLE
Middle Name:MICHELLE
Last Name:MAGLIANO
Suffix:
Gender:F
Credentials:RN CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5926 E 47TH ST N
Mailing Address - Street 2:
Mailing Address - City:BEL AIRE
Mailing Address - State:KS
Mailing Address - Zip Code:67220-1624
Mailing Address - Country:US
Mailing Address - Phone:775-232-5050
Mailing Address - Fax:
Practice Address - Street 1:5926 E 47TH ST N
Practice Address - Street 2:
Practice Address - City:BEL AIRE
Practice Address - State:KS
Practice Address - Zip Code:67220-1624
Practice Address - Country:US
Practice Address - Phone:775-232-5050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-130081-011163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management