Gabrielle Wienckoski, APRN | |
675 S Babcock St Ste 1, Melbourne, FL 32901-1459 | |
(321) 951-1010 | |
(321) 951-1010 |
Full Name | Gabrielle Wienckoski |
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Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 675 S Babcock St Ste 1, Melbourne, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679335335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | APRN11030359 (Florida) | Primary |
Entity Name | Indigo Dermatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659743094 PECOS PAC ID: 9638469869 Enrollment ID: O20160601000005 |
Mailing Address | Practice Location Address |
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Gabrielle Wienckoski, APRN 675 S Babcock St, Melbourne, FL 32901-1459 Ph: (321) 951-1010 | Gabrielle Wienckoski, APRN 675 S Babcock St Ste 1, Melbourne, FL 32901-1459 Ph: (321) 951-1010 |
Madgianna Grant-sommerville, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1900 S Harbor City Blvd, Suite 231, Melbourne, FL 32901 Phone: 321-821-7793 Fax: 321-821-0847 | |
Ms. Marissa Cherva Scott, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2822 Temple Ter, Melbourne, FL 32935 Phone: 321-987-1895 | |
Tanisha Campbell, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2020 Commerce Dr, Melbourne, FL 32904 Phone: 321-722-5200 | |
Jennifer Meyer, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3004 Fountainhead Cir, Apt# 116, Melbourne, FL 32934 Phone: 321-345-9022 | |
Ms. Nicole Akyaa Marquez, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3000 Savannah Way, 201, Melbourne, FL 32935 Phone: 321-775-4013 | |
Athenia Frazier, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3238 W New Haven Ave, Melbourne, FL 32904 Phone: 321-729-6747 | |
Claire Brown, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4561 Beck Lake Trl, Melbourne, FL 32901 Phone: 321-723-5404 |