Healthcare Provider Details

I. General information

NPI: 1598387425
Provider Name (Legal Business Name): GINA RIGSBEE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2020
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13280 EVENING CREEK DR S STE 225
SAN DIEGO CA
92128-4664
US

IV. Provider business mailing address

13280 EVENING CREEK DR S STE 225
SAN DIEGO CA
92128-4664
US

V. Phone/Fax

Practice location:
  • Phone: 877-257-0637
  • Fax:
Mailing address:
  • Phone: 877-257-0637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.026535
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN.CNP.026535
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: