Gibbs, Ellen Ruth
Gibbs, Ellen Ruth is an individual health care provider with primary practice located at 5088 N Fresno St , Fresno CA 93710-7611. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gibbs, Ellen Ruth can be contacted via phone (559) 632-3006.Contact Information
Primary practice address
5088 N Fresno St
Fresno CA 93710-7611
Phone: (559) 632-3006
Fax: (209) 725-2072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 537772 | California |
Profile Details
| NPI number | 1316946874 |
|---|---|
| LBN Legal business name | Gibbs, Ellen Ruth |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Nov 16th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316946874 | NPPES |
| Oregon | MEDICAID | 239700 |
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