Lindsay R. Gibbons in Grand Rapids - Nurse Practitioner

Lindsay R. Gibbons - NPI 1124184460

Lindsay R. Gibbons is a Nurse Practitioner in Grand Rapids, Michigan. Lindsay R. Gibbons practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Lindsay R. Gibbons is 1124184460. The last update date is 2023-05-23.

Lindsay R. Gibbons's current location address is 743 E Beltline Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164569553 and fax number 6164545371. The mailing address for Lindsay R. Gibbons is 743 E Beltline Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Lindsay R. Gibbons
Address 743 E Beltline Ave Ne, Grand Rapids, Michigan
Phone Number 6164569553
Fax Number 6164545371
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1124184460
Provider Enumeration Date 2006-12-29
Last Updated Date 2023-05-23

Provider Mailing Address Detail

Address 743 E Beltline Ave Ne
City Grand Rapids
State Michigan (MI)
Post Code 495256045
Phone Number 6164569553
Fax Number 6164545371

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 4704234804
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5008771990 MN BLUE CROSS BLUE SHIELD PIN
1124184460 MI TRICARE NPI

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FAQs about Lindsay R. Gibbons

What is the Lindsay R. Gibbons's unique identification number?

The Lindsay R. Gibbons has been assigned the NPI (National Provider Identifier) Number 1124184460 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Lindsay R. Gibbons's facilities are geographically located?

The facilities of Lindsay R. Gibbons are physically situated at the following location: 743 E Beltline Ave Ne, Grand Rapids, MI, 495256045.

What is Lindsay R. Gibbons's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lindsay R. Gibbons's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1124184460 to Lindsay R. Gibbons?

The Centers for Medicare & Medicaid Services originally issued the 1124184460 to Lindsay R. Gibbons on 2006-12-29.

When was the information regarding Lindsay R. Gibbons most recently updated?

The details pertaining to the Lindsay R. Gibbons, including its address, specialty, and other relevant information, were last refreshed on 2023-05-23.

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