Individual
ELLEN GIBSON RAPHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-C, CRNP
Contact information
Practice address
610 LOUIS DR, WARMINSTER, PA 18974-2828
(215) 957-7980
Mailing address
1705 LARUE LN, WARRINGTON, PA 18976-2213
(215) 343-1434
(215) 491-9135
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
TP001360G
PA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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