Individual
PROF. ELLEN RUTH GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5088 N FRESNO ST, FRESNO, CA 93710-7611
(559) 632-3006
(209) 725-2072
Mailing address
5088 N FRESNO ST, FRESNO, CA 93710-7611
(559) 632-3006
(209) 725-2072
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
537772
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239700
—
OR
Enumeration date
07/18/2005
Last updated
11/16/2020
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