Provider Demographics
NPI:1104642339
Name:TERRIBILINI, GABRIELLE (FNP-C)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:TERRIBILINI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:NICOLE
Other - Last Name:TERRIBILINI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP FNP-C
Mailing Address - Street 1:500 UNIVERSITY DR MC CA410
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2360
Mailing Address - Country:US
Mailing Address - Phone:717-531-5208
Mailing Address - Fax:717-531-0119
Practice Address - Street 1:3100 SCHOOLHOUSE RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:PA
Practice Address - Zip Code:17057-3548
Practice Address - Country:US
Practice Address - Phone:717-948-5180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-03
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP028413363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily