Provider Demographics
NPI:1720598741
Name:MOUNT BORRERO, GABRIELLE (APRN-AGACNP-BC)
Entity type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:
Last Name:MOUNT BORRERO
Suffix:
Gender:F
Credentials:APRN-AGACNP-BC
Other - Prefix:MRS
Other - First Name:GABRIELLE
Other - Middle Name:
Other - Last Name:MOUNT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:550 SE 6TH AVE STE 200Y
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5306
Mailing Address - Country:US
Mailing Address - Phone:561-944-8180
Mailing Address - Fax:
Practice Address - Street 1:550 SE 6TH AVE STE 200Y
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5306
Practice Address - Country:US
Practice Address - Phone:561-944-8180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-04
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9299173208M00000X
FLARNP9299173363LA2100X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care