Provider Demographics
NPI:1871979914
Name:BORENS, GABRIELLE ANNA (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:ANNA
Last Name:BORENS
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:ANNA
Other - Last Name:TUCKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 797171
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75379-7171
Mailing Address - Country:US
Mailing Address - Phone:214-494-4424
Mailing Address - Fax:214-494-4423
Practice Address - Street 1:7000 PARKWOOD BLVD
Practice Address - Street 2:STE F100
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7406
Practice Address - Country:US
Practice Address - Phone:214-494-4424
Practice Address - Fax:214-494-4423
Is Sole Proprietor?:No
Enumeration Date:2015-07-30
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128214363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care