# ELLIE RACHEL GIBBERMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295024867
- **Gender:** F
- **Credential:** ACNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 0024169086 | VA | Yes |
| 363L00000X | Nurse Practitioner | 3-002769 | AL | — |
| 363L00000X | Nurse Practitioner | 4052774 | KY | — |
| 363L00000X | Nurse Practitioner | APRN11044056 | FL | — |
| 363L00000X | Nurse Practitioner | C-APN.0105713-C-NP | CO | — |
| 363LA2100X | Acute Care Nurse Practitioner | 0024169086 | VA | Yes |

## Other

- **Enumeration date:** 04/04/2011
- **Last updated:** 05/21/2026
