NPI 1700896685

Tracy Gibson, CNM

Practitioner Advanced Practice Midwife Pocatello, ID

Practice location

Address: 500 S 11th Ave Suite 402, Pocatello, ID 83201-4835
Phone: (208) 239-3412
Fax: (208) 239-3441

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence CNM33 (ID)

Other Advanced Practice Midwife providers in Idaho →

Registry record

NPI: 1700896685
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2006
Record last updated: 3 Mar 2011

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.