Provider Demographics
NPI:1679362776
Name:ROSSI, GABRIELLA OLIVIA
Entity type:Individual
Prefix:MS
First Name:GABRIELLA
Middle Name:OLIVIA
Last Name:ROSSI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 19TH AVE S APT 818
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-3774
Mailing Address - Country:US
Mailing Address - Phone:630-805-4306
Mailing Address - Fax:
Practice Address - Street 1:818 19TH AVE S APT 818
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-3774
Practice Address - Country:US
Practice Address - Phone:630-805-4306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program