Provider Demographics
NPI:1992022453
Name:SCHWILK, GABRIELLE CAMILLE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:CAMILLE
Last Name:SCHWILK
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 1:73345 HIGHWAY 111 STE 101
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-3909
Mailing Address - Country:US
Mailing Address - Phone:760-773-4948
Mailing Address - Fax:760-773-4910
Practice Address - Street 1:73345 HIGHWAY 111 STE 101
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3909
Practice Address - Country:US
Practice Address - Phone:760-773-4948
Practice Address - Fax:760-773-4910
Is Sole Proprietor?:No
Enumeration Date:2010-04-23
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19697F363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily