Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gabriella Medeiros Ducheny

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962391102

Gabriella Medeiros Ducheny is a Physician Assistant in Milwaukee, Wisconsin. Qualified in 2025, 1 year ago. Practices as a sole proprietor.

Years since qualifying
1
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

507 N 17th St
Milwaukee, WI 53233-2104
Phone: (414) 288-5688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962391102
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 1, 2025
Last updated in NPPESAugust 17, 2025
Certification dateAugust 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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