Provider Demographics
NPI:1780227413
Name:FLORES, GABRIELA (RN)
Entity Type:Individual
Prefix:MRS
First Name:GABRIELA
Middle Name:
Last Name:FLORES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:GABRIELA
Other - Middle Name:
Other - Last Name:VARGAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:44150 W. MARICOPA CASA GRANDE HWY
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138
Mailing Address - Country:US
Mailing Address - Phone:520-568-5100
Mailing Address - Fax:520-568-5110
Practice Address - Street 1:44150 W. MARICOPA CASA GRANDE HWY
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138
Practice Address - Country:US
Practice Address - Phone:520-568-5100
Practice Address - Fax:520-568-5110
Is Sole Proprietor?:No
Enumeration Date:2019-10-25
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28249653A163WS0200X
IL041446232163WS0200X
AZ230137163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool