Provider Demographics
NPI:1447960729
Name:GABEL, BUFFY ALISS (NP)
Entity type:Individual
Prefix:
First Name:BUFFY
Middle Name:ALISS
Last Name:GABEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2301 W I 35 FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-8515
Mailing Address - Country:US
Mailing Address - Phone:405-757-3365
Mailing Address - Fax:405-757-3499
Practice Address - Street 1:2301 W I 35 FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-8515
Practice Address - Country:US
Practice Address - Phone:405-757-3365
Practice Address - Fax:405-757-3499
Is Sole Proprietor?:No
Enumeration Date:2022-11-28
Last Update Date:2024-06-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK211725363LF0000X
OKR0127091163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse