Provider Demographics
NPI:1598505174
Name:GIBBS, ARIANA TELISA
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:TELISA
Last Name:GIBBS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 E 193RD ST # D-327
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1371
Mailing Address - Country:US
Mailing Address - Phone:216-272-5088
Mailing Address - Fax:
Practice Address - Street 1:1540 E 193RD ST # D-327
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44117-1371
Practice Address - Country:US
Practice Address - Phone:216-272-5088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No376J00000XNursing Service Related ProvidersHomemaker