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Madeline Rose Gabor

Student in an Organized Health Care Education/Training Program in Eagle Mountain, UT. Individual provider (NPI-1).

NPI number1104699271
StatusActive
Last updated in NPPESApr 16, 2025

Details

NPI
1104699271
Entity type
Individual (NPI-1)
Name
Madeline Rose Gabor
Sex
Female
Sole proprietor
No
Enumeration date
Nov 1, 2023
Certification date
Apr 16, 2025
Last updated
Apr 16, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

3688 E Campus Dr
Eagle Mountain, UT 84005-4667

Phone 385-268-6780

Mailing address

750 N Freedom Blvd
Provo, UT 84601-1677

Phone 801-373-4760

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Eagle Mountain, UT

All 7 Student in an Organized Health Care Education/Training Program providers in Eagle Mountain · All 304 providers in Eagle Mountain

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