Provider Demographics
NPI:1932430477
Name:PIERRE, GABRIELLE CHARISTIN (LPN)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:CHARISTIN
Last Name:PIERRE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 FAIST DR
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-2901
Mailing Address - Country:US
Mailing Address - Phone:845-426-1165
Mailing Address - Fax:
Practice Address - Street 1:4 FAIST DR
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-2901
Practice Address - Country:US
Practice Address - Phone:845-426-1165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267306164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY267306OtherLICENSED PRACTICAL NURSE