Provider Demographics
NPI:1619538683
Name:ROMERO, GABRIELLA NICOLE (PA-C, MSPAS)
Entity type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:NICOLE
Last Name:ROMERO
Suffix:
Gender:F
Credentials:PA-C, MSPAS
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1728 W MARINE VIEW DR STE 110
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-2094
Mailing Address - Country:US
Mailing Address - Phone:425-791-3093
Mailing Address - Fax:425-791-3094
Practice Address - Street 1:3125 COLBY AVE STE J
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4032
Practice Address - Country:US
Practice Address - Phone:425-791-3093
Practice Address - Fax:425-791-3094
Is Sole Proprietor?:No
Enumeration Date:2019-06-21
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPA60972448207K00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology