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MR. GABRIEL GAUDREAU AT
NPI 1083179691
Student in an Organized Health Care Education/Training Program in Flagstaff, AZ

Active since February 07, 2019
305 E MCCONNELL DR APT 4305, FLAGSTAFF, AZ 86001(406) 217-8281 Get Directions Write a Review

NPPES record last updated: February 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gabriel Gaudreau At NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GABRIEL GAUDREAU AT (NPI 1083179691) is an individual student in an organized health care education/training program in Flagstaff, Arizona and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1083179691
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. GABRIEL GAUDREAUCredential: AT
Location Address305 E MCCONNELL DR APT 4305Flagstaff, AZ 86001-6554
Mailing Address305 E Mcconnell Dr Apt 4305Flagstaff, AZ 86001-6554 · (406) 217-8281
Phone(406) 217-8281
Sole ProprietorYes
Enumeration DateFebruary 7, 2019
✔ NPI 1083179691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
305 E MCCONNELL DR APT 4305, Flagstaff, AZ 86001
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gabriel Gaudreau's NPI number?

The NPI number for Gabriel Gaudreau is 1083179691. It was assigned to this individual provider in the NPPES registry on February 7, 2019.

Where is Gabriel Gaudreau located?

Gabriel Gaudreau practices at 305 E Mcconnell Dr Apt 4305, Flagstaff, AZ 86001. The listed phone number is (406) 217-8281.

What is Gabriel Gaudreau's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Gabriel Gaudreau was last updated on February 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.