Individual
MS. TARA BRIDGET GIBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19 BRADHURST AVENUE, SUITE 800S, HAWTHORNE, NY 10532
(914) 493-7997
(914) 594-2143
Mailing address
40 SUNSHINE COTTAGE RD., SKYLINE BUILDING, IN - J08, VALHALLA, NY 10595
(914) 594-2179
(914) 594-2143
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
576025-1
NY
363L00000X
Nurse Practitioner
3181949
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
381949
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02969079
—
NY
Enumeration date
03/19/2008
Last updated
03/29/2017
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