Gabriel, Omar Jerico

Gabriel, Omar Jerico is an sole proprietor health care provider with primary practice located at 3204 Kiersten Ln , Kingman AZ 86401-0609. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Gabriel, Omar Jerico can be contacted via phone (928) 279-9387.

Contact Information

Primary practice address
3204 Kiersten Ln Kingman AZ 86401-0609
Phone: (928) 279-9387
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP8848 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP8848 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP8848 Arizona

Profile Details

NPI number 1427401652
LBN Legal business name Gabriel, Omar Jerico
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2016
Last updated Jul 23rd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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