| Prof Ellen Ruth Gibbs, FNP | |
| 5088 N Fresno St, Fresno, CA 93710-7611 | |
| (559) 632-3006 | |
| (209) 725-2072 | 
| Full Name | Prof Ellen Ruth Gibbs | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 5088 N Fresno St, Fresno, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316946874 | NPI | - | NPPES | 
| 239700 | Medicaid | OR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 537772 (California) | Primary | 
| Entity Name | Gettysburg Medical Clinic, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063519858 PECOS PAC ID: 5991957805 Enrollment ID: O20121128000353 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Prof Ellen Ruth Gibbs, FNP 5088 N Fresno St, Fresno, CA 93710-7611 Ph: (559) 632-3006 | Prof Ellen Ruth Gibbs, FNP 5088 N Fresno St, Fresno, CA 93710-7611 Ph: (559) 632-3006 | 
| Ms. Sheila Orallo Mallory, N. P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1867 E Fir Ave Ste 104, Fresno, CA 93720 Phone: 559-325-5876 Fax: 559-325-5838 | |
| Gretchen Nelson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1105 E Spruce Ave Ste 203, Fresno, CA 93720 Phone: 559-450-7272 Fax: 559-450-7276 | |
| Marlene Solomon Lim, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5755 E Kings Canyon Rd, Suite 104, Fresno, CA 93727 Phone: 559-255-7777 Fax: 559-454-1091 | |
| Ms. Yolanda Mata, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 257 N Dewitt Ave, Fresno, CA 93727 Phone: 559-255-1373 | |
| Tamara Carpenter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-499-6440 | |
| Natalie Betancur, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 645 S Minnewawa Ave, Fresno, CA 93727 Phone: 800-492-4227 | |
| Irene Moore, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7130 N Millbrook Ave Ste 100, Fresno, CA 93720 Phone: 559-326-1222 Fax: 559-326-1230 |