Provider Demographics
NPI:1326847336
Name:GABIOLA, MIKAELE D
Entity type:Individual
Prefix:MISS
First Name:MIKAELE
Middle Name:D
Last Name:GABIOLA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11734 S 210TH ST
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:NE
Mailing Address - Zip Code:68028-3745
Mailing Address - Country:US
Mailing Address - Phone:402-609-8923
Mailing Address - Fax:402-609-8923
Practice Address - Street 1:11734 S 210TH ST
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028-3745
Practice Address - Country:US
Practice Address - Phone:402-609-8923
Practice Address - Fax:402-609-8923
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker