Individual
ELIZABETH LAURA GIBBEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3700 JOSEPH SIEWICK DR STE 100, FAIRFAX, VA 22033-1737
(571) 665-6467
Mailing address
4209 RIDGE TOP RD APT 410, FAIRFAX, VA 22030-1120
(513) 702-9430
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024179602
VA
Other
Enumeration date
07/01/2020
Last updated
03/28/2024
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