Provider Demographics
NPI:1063111425
Name:BROWN REECE, GABRIELLE ANTOINETTE ALEATHIA (CNM, WHNP-BC, APRN)
Entity type:Individual
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First Name:GABRIELLE
Middle Name:ANTOINETTE ALEATHIA
Last Name:BROWN REECE
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Gender:F
Credentials:CNM, WHNP-BC, APRN
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Mailing Address - Street 1:PO BOX 748817
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-8817
Mailing Address - Country:US
Mailing Address - Phone:813-286-0033
Mailing Address - Fax:813-282-1806
Practice Address - Street 1:1600 DR MARTIN LUTHER KING JR ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33704-4204
Practice Address - Country:US
Practice Address - Phone:727-323-3838
Practice Address - Fax:727-456-0751
Is Sole Proprietor?:No
Enumeration Date:2023-02-24
Last Update Date:2023-06-23
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Provider Licenses
StateLicense IDTaxonomies
FL11024912363LW0102X
FLAPRN11024912367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health