Ellie Rachel Gibberman NP

NPI 1295024867 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1295024867
Gender Female
Enumeration Date 04/04/2011
Last Updated 08/15/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
549 E. BRAMBLETON AVE
JENCARE NEIGHBORHOOD MEDICAL NORFOLK, LLC
NORFOLK VA, 23510, US
Phone (757) 533-9441
Fax (757) 446-1454
Business Location
549 E. BRAMBLETON AVE
JENCARE NEIGHBORHOOD MEDICAL NORFOLK, LLC
NORFOLK VA, 23510, US
Phone (757) 533-9441
Fax (757) 446-1454
Toxanomy
Taxonomy Code 363L00000X
License State Virginia
License Number 0024169086
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According to our database, Ellie Rachel Gibberman NP NPI is 1295024867, taxonomy code is 363L00000X and license number is 0024169086, license state is located at Virginia. Ellie Rachel Gibberman NP physically located at 549 E. Brambleton Ave, Norfolk VA, 23510. NPI Number Ellie Rachel Gibberman NP has the Individual type.

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1295024867 NPI number is provided on an as is basis without warranty of any kind. 1295024867 is maintained by the National Plan & Provider Enumeration System. The contents of Ellie Rachel Gibberman NP are for informational purposes only.