Provider Demographics
NPI:1851972301
Name:TAYLOR, GABRIELLE RENEE PARILLA (RDN)
Entity type:Individual
Prefix:MS
First Name:GABRIELLE
Middle Name:RENEE PARILLA
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76-189 KAMEHAMALU ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-8996
Mailing Address - Country:US
Mailing Address - Phone:808-938-7319
Mailing Address - Fax:808-437-7190
Practice Address - Street 1:76-189 KAMEHAMALU ST
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-8996
Practice Address - Country:US
Practice Address - Phone:808-938-7319
Practice Address - Fax:808-437-7190
Is Sole Proprietor?:No
Enumeration Date:2021-04-16
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86109293133V00000X
HI312-LD133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered