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:
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Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316946874 NPPES
Oregon MEDICAID 239700

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