| Natalie Jean Gibson, DNP | |
|
169 N Gateway Dr Ste 170, Providence, UT 84332-9855 | |
| (435) 213-3597 | |
| Not Available |
| Full Name | Natalie Jean Gibson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 169 N Gateway Dr Ste 170, Providence, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528419330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 8738041-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Logan Regional Hospital | Logan, UT | Hospital |
| Nell J Redfield Memorial Hospital | Malad, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wholelife Family Wellness Clinic Of Providence Pllc | 5193153294 | 4 |
| Entity Name | Wholelife Family Wellness Clinic Of Providence Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962049932 PECOS PAC ID: 5193153294 Enrollment ID: O20200324003049 |
| Mailing Address | Practice Location Address |
|---|---|
| Natalie Jean Gibson, DNP 274 N Main St, Logan, UT 84321-3915 Ph: (435) 753-1600 | Natalie Jean Gibson, DNP 169 N Gateway Dr Ste 170, Providence, UT 84332-9855 Ph: (435) 213-3597 |
Angela C Thompson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 411 W 100 N Unit 412, Providence, UT 84332 Phone: 435-799-3840 Fax: 833-205-1005 | |
Vonda Michelle Mcbride, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 560 W 465 N Ste 601, Providence, UT 84332 Phone: 801-515-5564 Fax: 385-364-0600 | |
Andrea Arnell, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1225 Grandview Dr, Providence, UT 84332 Phone: 435-881-3278 | |
Leighanne Quarles, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 198 S 100 W, Providence, UT 84332 Phone: 801-201-0004 Fax: 866-503-6022 | |
Wylee Kyle Jensen, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 190 S Highway 165, Providence, UT 84332 Phone: 435-755-3300 | |
Mr. Ben P Boyer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 435 N Gateway Dr Ste 801, Providence, UT 84332 Phone: 435-787-1023 Fax: 435-787-1882 |