Healthcare Provider Details

I. General information

NPI: 1891009486
Provider Name (Legal Business Name): CONTESSA GILBERT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2010
Last Update Date: 08/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14406 BERMUDA AVE
CHESTER VA
23836-6092
US

IV. Provider business mailing address

14406 BERMUDA AVE
CHESTER VA
23836-6092
US

V. Phone/Fax

Practice location:
  • Phone: 804-252-1080
  • Fax:
Mailing address:
  • Phone: 804-252-1080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number0001186391
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001186391
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number0001186391
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number0001186391
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number0001186391
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number0001186391
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: