Provider Demographics
NPI:1417737230
Name:GABRIELLI, MADISON MAE (WHNP)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:MAE
Last Name:GABRIELLI
Suffix:
Gender:
Credentials:WHNP
Other - Prefix:
Other - First Name:MADISON
Other - Middle Name:MAE
Other - Last Name:LANDIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1225 4TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3431
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1225 4TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3431
Practice Address - Country:US
Practice Address - Phone:202-347-8512
Practice Address - Fax:202-290-2744
Is Sole Proprietor?:No
Enumeration Date:2023-09-29
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA24188883363LW0102X
MDR258106363LW0102X, 163W00000X
DCNP1057601363LW0102X
VA1316560163W00000X
DCRN1057601163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse