Provider Demographics
NPI:1093553745
Name:CORPREW, GABRIELLE K
Entity type:Individual
Prefix:MS
First Name:GABRIELLE
Middle Name:K
Last Name:CORPREW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 ARPDC ST
Mailing Address - Street 2:
Mailing Address - City:HERTFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27944-1219
Mailing Address - Country:US
Mailing Address - Phone:252-426-2100
Mailing Address - Fax:252-426-2104
Practice Address - Street 1:103 ARPDC ST
Practice Address - Street 2:
Practice Address - City:HERTFORD
Practice Address - State:NC
Practice Address - Zip Code:27944-1219
Practice Address - Country:US
Practice Address - Phone:252-426-2100
Practice Address - Fax:252-426-2104
Is Sole Proprietor?:No
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator