Doctor Name: | GAIL PRIB |
NPI Number: | 1356325294 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN241857/ NP3966 |
Business Practice Address: | 10535 Hospital Way Mather, CA - 956554200 |
Business Phone Number: | 9168439362 |
Business Fax Number: | |
Mailing Address: | 625 Keena Dr, AUBURN |
State: | CA |
Postal Code: | 956039546 |
Phone Number: | 8086511430 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | RN241857/ NP3966 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |