Healthcare Provider Details

I. General information

NPI: 1538110697
Provider Name (Legal Business Name): MARGARET C GERBER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 11/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CAPE COD HUMAN SERVICES 460 WEST MAIN STREET
HYANNIS MA
02601-3653
US

IV. Provider business mailing address

CAPE COD HUMAN SERVICES 460 WEST MAIN STREET
HYANNIS MA
02601-3653
US

V. Phone/Fax

Practice location:
  • Phone: 508-790-3375
  • Fax: 508-790-3304
Mailing address:
  • Phone: 508-790-3375
  • Fax: 508-790-3304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number105621
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: