Larry Ryan Gibson, NURSE PRACTITIONER | |
509 N Elam Ave, 2nd Fl, Greensboro, NC 27403-1118 | |
(336) 274-1114 | |
(336) 232-5325 |
Full Name | Larry Ryan Gibson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 509 N Elam Ave, Greensboro, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518326743 | NPI | - | NPPES |
562140200 | Other | NC | TAX IDENTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 232904 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alliance Urology Specialists | 8921902586 | 22 |
Entity Name | Alliance Urology Specialists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346204088 PECOS PAC ID: 8921902586 Enrollment ID: O20031125000195 |
Mailing Address | Practice Location Address |
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Larry Ryan Gibson, NURSE PRACTITIONER 509 N Elam Ave, 2nd Fl, Greensboro, NC 27403-1118 Ph: (336) 274-1114 | Larry Ryan Gibson, NURSE PRACTITIONER 509 N Elam Ave, 2nd Fl, Greensboro, NC 27403-1118 Ph: (336) 274-1114 |
Spenser Robert Beasley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E Wendover Ave Ste 311, Greensboro, NC 27401 Phone: 336-272-6161 | |
Mrs. Natalie Metts Stroud, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1002 N Church St Ste 201, Greensboro, NC 27401 Phone: 336-378-0713 | |
Lindsi Ahearn, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Pisgah Church Rd, Greensboro, NC 27455 Phone: 336-716-9150 | |
Mr. Brian Anthony White, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410 Phone: 336-292-1510 | |
Mrs. Mariam Mangu Nantang, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 603 Dolley Madison Rd Ste 100, Greensboro, NC 27410 Phone: 336-632-3505 | |
Leni Abraham Daniel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3803 N Elm St, Greensboro, NC 27455 Phone: 919-949-0731 | |
Mrs. Dinah Chebotip Ngetich, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1309 N Elm St, Greensboro, NC 27401 Phone: 336-544-5400 |