NPI 1205625373

Ethnee Nevaeh Gibson

Practitioner Community Health Worker Rio Rancho, NM

Practice location

Address: 4100 Barbara Loop SE, Rio Rancho, NM 87124-1000
Phone: (505) 702-8547

Registered specialties (2)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in New Mexico →

Peer Specialist

Other Service Providers Taxonomy 175T00000X Licence 1982 (NM)

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Registry record

NPI: 1205625373
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 May 2025
Record last updated: 30 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.