Provider Demographics
NPI:1861825242
Name:GABRIELSON, ANN MARIE FRANCES (RN-NP)
Entity Type:Individual
Prefix:MRS
First Name:ANN MARIE
Middle Name:FRANCES
Last Name:GABRIELSON
Suffix:
Gender:F
Credentials:RN-NP
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Mailing Address - Street 1:3902 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48125-2545
Mailing Address - Country:US
Mailing Address - Phone:313-562-1985
Mailing Address - Fax:313-562-0380
Practice Address - Street 1:3902 MONROE ST
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48125-2545
Practice Address - Country:US
Practice Address - Phone:313-562-1985
Practice Address - Fax:313-562-0380
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704178393363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health