Gibilterra, Stacey

Gibilterra, Stacey is an individual health care provider with primary practice located at 21216 Northwest Fwy Ste. 460, Cypress TX 77429-1439. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gibilterra, Stacey can be contacted via phone (281) 807-5300.

Contact Information

Primary practice address
21216 Northwest Fwy Ste. 460 Cypress TX 77429-1439
Phone: (281) 807-5300
Fax: (281) 807-5311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 727283 Texas

Profile Details

NPI number 1407842123
LBN Legal business name Gibilterra, Stacey
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Apr 27th, 2012 - about 13 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 1407842123 NPPES
Louisiana MEDICAID 1432083

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