Provider Demographics
NPI:1235333121
Name:GEBUS, VIRGINIA CARTER (RN,MSN,APN,CNSN)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:CARTER
Last Name:GEBUS
Suffix:
Gender:F
Credentials:RN,MSN,APN,CNSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MICHIGAN AVE NW
Mailing Address - Street 2:DEPARTMENT OF GASTROENTEROLOGY
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2978
Mailing Address - Country:US
Mailing Address - Phone:202-884-4125
Mailing Address - Fax:202-884-4156
Practice Address - Street 1:111 MICHIGAN AVE NW
Practice Address - Street 2:DEPARTMENT OF GASTROENTEROLOGY
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2978
Practice Address - Country:US
Practice Address - Phone:202-884-4125
Practice Address - Fax:202-884-4156
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN32463364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist