Individual
TRACY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
500 S 11TH AVE, SUITE 402, POCATELLO, ID 83201-4835
(208) 239-3412
(208) 239-3441
Mailing address
500 S 11TH AVE, SUITE 402, POCATELLO, ID 83201-4835
(208) 239-3412
(208) 239-3441
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM33
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010146389
REGENCE BLUE SHIELD OF ID
ID
05
—
805053800
—
ID
01
—
NPYT9
BLUE CROSS OF IDAHO
ID
01
—
P00175232
RAILROAD MEDICARE
ID
Enumeration date
08/09/2006
Last updated
03/03/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us