Carla Gibson is a Family in Missoula, Montana. Carla Gibson practices all healthcare services and medical treatments related to Family. The NPI Number for Carla Gibson is 1245310135. The last update date is 2023-09-27.
Carla Gibson's current location address is 2120 S Reserve St # 401, Missoula, Montana. You can contact this provider via phone number 4065435444 and fax number 4065435447. The mailing address for Carla Gibson is 2120 S Reserve St # 401, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carla Gibson |
|---|---|
| Address | 2120 S Reserve St # 401, Missoula, Montana |
| Phone Number | 4065435444 |
| Fax Number | 4065435447 |
| Sole Proprietor | Y |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1245310135 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2023-09-27 |
Provider Mailing Address Detail
| Address | 2120 S Reserve St # 401 |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 598016451 |
| Phone Number | 4065435444 |
| Fax Number | 4065435447 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 16250 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 373780 | MT | BLUE CROSS BLUE SHIELD | |
| 4302402 | MT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carla Gibson by the Centers for Medicare & Medicaid Services?
The Carla Gibson has been issued the NPI (National Provider Identifier) 1245310135, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Carla Gibson is physically located?
The Carla Gibson is situated at the following address: 2120 S Reserve St # 401, Missoula, MT 598016451.
What is the Carla Gibson's area of specialization and corresponding taxonomy classification?
The Carla Gibson's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245310135 to Carla Gibson?
The Centers for Medicare & Medicaid Services originally issued the 1245310135 to Carla Gibson on 2006-10-16.
When was the information regarding Carla Gibson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carla Gibson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-09-27.