Provider Demographics
NPI:1801018775
Name:GABLER, JUDITH GRACE (FNP)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:GRACE
Last Name:GABLER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12131 BLAZING STAR RD
Mailing Address - Street 2:
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-9616
Mailing Address - Country:US
Mailing Address - Phone:530-478-9325
Mailing Address - Fax:
Practice Address - Street 1:140 LITTON DR STE 110
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-5078
Practice Address - Country:US
Practice Address - Phone:530-272-9770
Practice Address - Fax:530-477-4017
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA383514163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice