Individual provider · NPI-1
Gabrielle Keana Caporaso, MSN APRN
Nurse Practitioner, Pediatrics · Loma Linda, CA
NPI number1821752072
StatusActive
Last updated in NPPESSep 6, 2026
Details
- NPI
- 1821752072
- Entity type
- Individual (NPI-1)
- Name
- Gabrielle Keana Caporaso
- Credential
- MSN APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2021
- Certification date
- Sep 6, 2026
- Last updated
- Sep 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 95036866 | CA | Yes |
| 163W00000X | Registered Nurse | 95236691 | CA |
Other names
- Gabrielle Keana Foley (Former Name)
Practice location
11234 Anderson StLoma Linda, CA 92350-1716
Phone 760-953-0670
Mailing address
616 E Sunset Dr NRedlands, CA 92373-6409
Phone 909-558-8000
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