Search › Idaho › 363AS0400X
Lauren Gibson, PA-C
NPI 1336372515 · on the registry since 2009
Practice
- Address
- 4424 E Flamingo Avet
Ste 110
Nampa, ID 83687 - Phone
- (208) 302-3200
- Fax
- (208) 302-3255
Additional practice sites
- 9850 W St Lukes Dr, Nampa, ID
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363AS0400X
207P00000X
363AM0700X - Licence states on file
- DE, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho