Provider Demographics
NPI:1811022650
Name:GABER, JOAN ALEXANDRA (CFNP)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:ALEXANDRA
Last Name:GABER
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14816 CARLBERN DR
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-1506
Mailing Address - Country:US
Mailing Address - Phone:703-830-8506
Mailing Address - Fax:
Practice Address - Street 1:4113 STEVENSON ST
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-5617
Practice Address - Country:US
Practice Address - Phone:703-460-6200
Practice Address - Fax:703-460-6229
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024098365363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily