Individual
GEOFF ROSS IBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
16772 W BELL RD STE 110-619, SURPRISE, AZ 85374-9702
(480) 388-7084
(480) 741-9545
Mailing address
16772 W BELL RD STE 110-619, SURPRISE, AZ 85374-9702
(480) 388-7084
(480) 741-9545
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
265209
AZ
363LP0200X
Pediatric Nurse Practitioner
265209
AZ
363LP2300X
Primary Care Nurse Practitioner
265209
AZ
Other
Enumeration date
10/05/2021
Last updated
08/08/2025
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