Provider Demographics
NPI:1215826607
Name:GABRIEL, MADUABUCHI PRINCE (CRNP FNP-C)
Entity type:Individual
Prefix:
First Name:MADUABUCHI
Middle Name:PRINCE
Last Name:GABRIEL
Suffix:
Gender:M
Credentials:CRNP FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3434 CHABLIS WAY
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-8620
Mailing Address - Country:US
Mailing Address - Phone:717-434-0609
Mailing Address - Fax:717-434-0609
Practice Address - Street 1:1110 ROCKLAND ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19604-1501
Practice Address - Country:US
Practice Address - Phone:071-743-4060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP033044363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily