Healthcare Provider Details

I. General information

NPI: 1962797662
Provider Name (Legal Business Name): LORI GEBELL, CRNFA,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2011
Last Update Date: 11/14/2023
Certification Date: 11/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6862 E FIELDSTONE LN
TUCSON AZ
85750-2077
US

IV. Provider business mailing address

6862 E FIELDSTONE LN
TUCSON AZ
85750-2077
US

V. Phone/Fax

Practice location:
  • Phone: 214-227-2457
  • Fax: 214-764-0880
Mailing address:
  • Phone: 214-227-2457
  • Fax: 214-764-0880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number
License Number State

VIII. Authorized Official

Name: MS. LORI ANN GEBELL
Title or Position: OWNER
Credential: CRNFA
Phone: 214-227-2457