| Mrs Gabriela Anna Leon, ARNP-FNP-BC | |
|
790 E 5th St, Coquille, OR 97423-1755 | |
| (541) 396-3111 | |
| (541) 396-5891 |
| Full Name | Mrs Gabriela Anna Leon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 790 E 5th St, Coquille, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568918563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9287947 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 201702233NP-PP (Oregon) | Primary |
| Entity Name | North Bend Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138 |
| Entity Name | Coquille Valley Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730223967 PECOS PAC ID: 6901714591 Enrollment ID: O20040420000530 |
| Entity Name | Coquille Valley Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376374967 PECOS PAC ID: 2567902182 Enrollment ID: O20240910003766 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Gabriela Anna Leon, ARNP-FNP-BC 6386 Westchester Club Dr N, Boynton Beach, FL 33437-6337 Ph: (954) 401-3216 | Mrs Gabriela Anna Leon, ARNP-FNP-BC 790 E 5th St, Coquille, OR 97423-1755 Ph: (541) 396-3111 |
Nicole Marie Janke, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 790 E 5th St, Coquille, OR 97423 Phone: 541-396-3111 | |
Candie Marie Keller, MSN, APRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 790 E 5th St, Coquille, OR 97423 Phone: 541-396-7295 |