Provider Demographics
NPI:1356027403
Name:OPELANIO, GLORI ANNE CABARLES (RN)
Entity type:Individual
Prefix:
First Name:GLORI ANNE
Middle Name:CABARLES
Last Name:OPELANIO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14103 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-2334
Mailing Address - Country:US
Mailing Address - Phone:347-251-8050
Mailing Address - Fax:
Practice Address - Street 1:14103 15TH AVE
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-2334
Practice Address - Country:US
Practice Address - Phone:347-251-8050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY634304163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse