Provider Demographics
NPI:1285118810
Name:SANCHEZ, GABRIELLE
Entity type:Individual
Prefix:DR
First Name:GABRIELLE
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:
Other - Last Name:HORVATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1105 DIVISION AVE # 201
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98403-1646
Mailing Address - Country:US
Mailing Address - Phone:253-403-9200
Mailing Address - Fax:253-403-9201
Practice Address - Street 1:1105 DIVISION AVE # 201
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-1646
Practice Address - Country:US
Practice Address - Phone:253-403-9200
Practice Address - Fax:253-409-9201
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145831363LW0102X, 363LX0001X
WAAP61426786363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology