Provider Demographics
NPI:1902108236
Name:GABRIEL, LEAH RENEE (NP)
Entity Type:Individual
Prefix:MS
First Name:LEAH
Middle Name:RENEE
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1907 CARPENTER AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-1310
Mailing Address - Country:US
Mailing Address - Phone:515-286-3798
Mailing Address - Fax:515-286-3012
Practice Address - Street 1:1907 CARPENTER AVE
Practice Address - Street 2:POLK COUNTY HEALTH DEPARTMENT
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314
Practice Address - Country:US
Practice Address - Phone:515-286-3798
Practice Address - Fax:515-286-3012
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAA-108444363LP0222X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care