Provider Demographics
NPI:1992249007
Name:DAVID, GABRIELLE (CRNA)
Entity type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:
Last Name:DAVID
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MRS
Other - First Name:GABRIELLE
Other - Middle Name:
Other - Last Name:HECKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:3239 W 31ST AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-3717
Mailing Address - Country:US
Mailing Address - Phone:205-356-5246
Mailing Address - Fax:
Practice Address - Street 1:1400 JACKSON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-2761
Practice Address - Country:US
Practice Address - Phone:303-388-4461
Practice Address - Fax:303-398-1211
Is Sole Proprietor?:No
Enumeration Date:2016-12-08
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN687874163W00000X
PAIN PROGRESS367500000X
COAPN.0993863-CRNA367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse