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Search › Idaho › 367A00000X

Tracy Gibson, CNM

NPI 1700896685 · on the registry since 2006

Practice

Address
500 S 11th Ave
Suite 402
Pocatello, ID 83201
Phone
(208) 239-3412
Fax
(208) 239-3441
Organisation at this address
Judy Pc
Care Llc
Health West, Inc.
Health West, Inc.
Salt Lake City Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
62

Registry record

Primary taxonomy
367A00000X
367A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-03-03

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