| Cheryl L Gibson, FNP | |
|
8911 Lakewood Dr Ste 13, Windsor, CA 95492-7857 | |
| (707) 387-3910 | |
| (707) 836-1942 |
| Full Name | Cheryl L Gibson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 8911 Lakewood Dr Ste 13, Windsor, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134371180 | NPI | - | NPPES |
| 18243 | Other | CA | BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 18243 (California) | Primary |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Entity Name | North Sonoma County Health Care District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194824573 PECOS PAC ID: 4789594367 Enrollment ID: O20060406000251 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl L Gibson, FNP 200 W Center Street Promenade Ste 400, Anaheim, CA 92805-3960 Ph: (714) 449-4800 | Cheryl L Gibson, FNP 8911 Lakewood Dr Ste 13, Windsor, CA 95492-7857 Ph: (707) 387-3910 |
Trong Vang, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8465 Old Redwood Hwy Ste 320, Windsor, CA 95492 Phone: 707-431-1170 | |
Maddisen Foster, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8908 Heritage Dr, Windsor, CA 95492 Phone: 707-888-3858 | |
Laura A Marcus, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 166 Windsor River Rd, Windsor, CA 95492 Phone: 415-377-3910 |