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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1407842123 | NPPES |
| Louisiana | MEDICAID | 1432083 |
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