Gibson, Lacey Rae

Gibson, Lacey Rae is an individual health care provider with primary practice located at 167 North Main Street , Tuba City AZ 86045-1621. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Gibson, Lacey Rae can be contacted via phone (602) 315-8661.

Contact Information

Primary practice address
167 North Main Street Tuba City AZ 86045-1621
Phone: (602) 315-8661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN159748 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN159748 Arizona

Profile Details

NPI number 1184287633
LBN Legal business name Gibson, Lacey Rae
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2019
Last updated Mar 16th, 2023 - about 2 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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