Individual
ELLIE RACHEL GIBBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024169086
VA
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
Other
Enumeration date
04/04/2011
Last updated
02/06/2026
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