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NPI Code Detail

MEDICARE: JOSEPH HEYWARD GIBSON CRNA

MEDICARE: JOSEPH HEYWARD GIBSON CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist95002130CA

General Provider Information

NPI Number : 1477268605
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH HEYWARD GIBSON CRNA
Provider Business Mailing Address
First Line : 4301 X ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2214
Country : US
Telephone Number : 916-734-2011
Fax Number :
Provider Business Practice Location Address
First Line : 4301 X ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2214
Country : US
Telephone Number : 916-734-2011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2023
Last Update Date : 12/29/2025

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Directions to “ JOSEPH HEYWARD GIBSON CRNA” Practice Location

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