Provider Demographics
NPI:1801618871
Name:CRABTREE, GABRIELLE MIRABELLA (PA-S)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:MIRABELLA
Last Name:CRABTREE
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:FAITH
Other - Last Name:MIRABELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:727 BELL RD
Mailing Address - Street 2:APT 1607
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-8034
Mailing Address - Country:US
Mailing Address - Phone:423-509-4801
Mailing Address - Fax:
Practice Address - Street 1:616 MARRIOTT DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-5048
Practice Address - Country:US
Practice Address - Phone:629-802-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program