Provider Demographics
NPI:1962283200
Name:WRIGHT, GABRIELLE HOPE GEVERS (PA-C)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:HOPE GEVERS
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:HOPE
Other - Last Name:GEVERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15257 ZENO WAY UNIT 104
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-3177
Mailing Address - Country:US
Mailing Address - Phone:314-393-0341
Mailing Address - Fax:
Practice Address - Street 1:15044 SANDPIPER LN UNIT 8
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114-8585
Practice Address - Country:US
Practice Address - Phone:239-529-2142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FL9120015363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program