Madeline Rose Gabor
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Eagle Mountain, UT
NPI 1104699271 · NPPES record last updated Apr 16, 2025
Key facts
- NPI
- 1104699271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 3688 E Campus Dr
Eagle Mountain, UT 84005-4667 - Phone
- (385) 268-6780
- NPI assigned
- Nov 1, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
3688 E Campus Dr
Eagle Mountain, UT 84005-4667
Mailing address
750 N Freedom Blvd
Provo, UT 84601-1677
Phone (801) 373-4760
Other providers in Eagle Mountain, UT
- Tyson Ray Fernstrom
- Skyler D Fischer
- Camrie Lynn Fletcher
- Jacob Chase Fowler
- FST Physical Therapy PLLC
- Bart Travis Gardiner
- Darren James Gillespie
- Lindsay Marie Gneiting
- Marilee Goljahmofrad
- Vanessa Marie Gonzalez Churchill
All providers in Eagle Mountain, UT · Student in an Organized Health Care Education/Training Program in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.