Provider Demographics
NPI:1982261392
Name:QUIGLEY, GABRIELLA NICOLE (APN)
Entity Type:Individual
Prefix:MRS
First Name:GABRIELLA
Middle Name:NICOLE
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MS
Other - First Name:GABRIELLA
Other - Middle Name:NICOLE
Other - Last Name:KNIPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:9 CHAIN BLVD
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08721
Mailing Address - Country:US
Mailing Address - Phone:727-256-4747
Mailing Address - Fax:732-209-8002
Practice Address - Street 1:509 MAIN ST
Practice Address - Street 2:BUILDING A, SUITE C
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753
Practice Address - Country:US
Practice Address - Phone:732-998-5299
Practice Address - Fax:732-209-8002
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-21
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1633165163WP0808X
CO0995299363LP0808X
FL11008608363LP0808X
NJ26NR22634600163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health