Provider Demographics
NPI:1750132585
Name:BRATTON, GABRIELLA RENAE
Entity type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:RENAE
Last Name:BRATTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:857 21ST ST NE APT 8
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-4139
Mailing Address - Country:US
Mailing Address - Phone:202-749-5700
Mailing Address - Fax:
Practice Address - Street 1:857 21ST ST NE APT 8
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4139
Practice Address - Country:US
Practice Address - Phone:202-749-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDUNKNOWN374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide