Provider Demographics
NPI:1972501062
Name:GILBERT, BARBARA K (NP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:K
Last Name:GILBERT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9227 BROWN MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:JEWELL RIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:24622-8635
Mailing Address - Country:US
Mailing Address - Phone:276-964-7582
Mailing Address - Fax:
Practice Address - Street 1:RT 19
Practice Address - Street 2:SOUTHWEST VA COMMUNITY COLLEGE
Practice Address - City:RICHLANDS
Practice Address - State:VA
Practice Address - Zip Code:24641
Practice Address - Country:US
Practice Address - Phone:276-964-7582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024097935363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA015136952Medicaid
VAP15558Medicare UPIN