Teresa R Gibson in Roanoke - Nurse Practitioner
Teresa R Gibson - NPI 1700868213
Teresa R Gibson is a Nurse Practitioner in Roanoke, Virginia. Teresa R Gibson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Teresa R Gibson is 1700868213. The last update date is 2022-03-14.
Teresa R Gibson's current location address is 3716 Melrose Ave Nw, Roanoke, Virginia. You can contact this provider via phone number 5403620360 and fax number 5403662049. The mailing address for Teresa R Gibson is 3716 Melrose Ave Nw, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa R Gibson |
|---|---|
| Address | 3716 Melrose Ave Nw, Roanoke, Virginia |
| Phone Number | 5403620360 |
| Fax Number | 5403662049 |
| Sole Proprietor | N |
| Credentials | WHNP |
NPI Number Detail
| NPI Number | 1700868213 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2022-03-14 |
Provider Mailing Address Detail
| Address | 3716 Melrose Ave Nw |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240172716 |
| Phone Number | 5403620360 |
| Fax Number | 5403662049 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 24165391 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7793103 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Teresa R Gibson by the Centers for Medicare & Medicaid Services?
The Teresa R Gibson has been issued the NPI (National Provider Identifier) 1700868213 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Teresa R Gibson's facilities are situated?
The facilities of Teresa R Gibson are physically located at the following address: 3716 Melrose Ave Nw, Roanoke, VA, 240172716.
What is Teresa R Gibson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Teresa R Gibson is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Teresa R Gibson receive its 1700868213 assignment from the Centers for Medicare & Medicaid Services?
The Teresa R Gibson was assigned its 1700868213 by the Centers for Medicare & Medicaid Services on 2005-11-18.
When was the Teresa R Gibson's information last updated?
The Teresa R Gibson's information was last updated on 2022-03-14.