Provider Demographics
NPI:1932171709
Name:RUMER, GABRIELLA HAIR (CNM)
Entity Type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:HAIR
Last Name:RUMER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 KENNETH RD STE 3
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-6344
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1880 KENNETH RD STE 3
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-6344
Practice Address - Country:US
Practice Address - Phone:717-779-2612
Practice Address - Fax:717-779-0019
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW008415L367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50026639OtherCAPITAL BLUE CROSS
PA5503422OtherAETNA PPO PROVIDER NUMBER
PA1354349OtherHIGHMARK BLUE SHIELD
PA3475405OtherAETNA HMO PROVIDER NUMBER
PA1354349OtherHIGHMARK BLUE SHIELD