Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEOTA LYNN GIBSON
Active Sole ProprietorLEOTA LYNN GIBSON is a Skilled Nursing Facility healthcare provider located in AUBURN, Washington. NPI 1619307964 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · AUBURN, WA
Registration Details
- NPI Number
- 1619307964
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 23, 2013 (12.700017561499 yrs)
- Last Updated
- Nov 23, 2013
- License
-
OT 00002387 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4642 S 282ND STAUBURN, WA, 980011110Browse WA providers · Browse ZIP 98001
- Phone
- 2068189863
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.