Provider Demographics
NPI:1003033259
Name:GILBERT, CINDY T (NP-C)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:T
Last Name:GILBERT
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 PINEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-2645
Mailing Address - Country:US
Mailing Address - Phone:423-265-0063
Mailing Address - Fax:423-263-1060
Practice Address - Street 1:1200 PINEVILLE RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37405-2645
Practice Address - Country:US
Practice Address - Phone:423-265-0063
Practice Address - Fax:423-263-1060
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN12278363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP57407Medicare UPIN