Provider Demographics
NPI:1679308696
Name:OROSCO, GABRIEL (FNP)
Entity type:Individual
Prefix:
First Name:GABRIEL
Middle Name:
Last Name:OROSCO
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 E WILLIAMS FIELD RD STE 101
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-4880
Mailing Address - Country:US
Mailing Address - Phone:480-499-0201
Mailing Address - Fax:480-499-0203
Practice Address - Street 1:920 E WILLIAMS FIELD RD STE 101
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-4880
Practice Address - Country:US
Practice Address - Phone:480-499-0201
Practice Address - Fax:480-499-0203
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ313219363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily