Healthcare Provider Details

I. General information

NPI: 1124321088
Provider Name (Legal Business Name): ANITA M GILBERT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2010
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 AZ-89
CHINO VALLEY AZ
86323
US

IV. Provider business mailing address

87 AZ-89
CHINO VALLEY AZ
86323
US

V. Phone/Fax

Practice location:
  • Phone: 928-404-1488
  • Fax: 866-232-8580
Mailing address:
  • Phone: 928-404-1488
  • Fax: 866-232-8580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number004566
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP8039
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: