Provider Demographics
NPI:1639918659
Name:GUBBINS, CARA EMILY
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:EMILY
Last Name:GUBBINS
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 1:605 GATEWAY CT
Mailing Address - Street 2:
Mailing Address - City:KETCHIKAN
Mailing Address - State:AK
Mailing Address - Zip Code:99901-5672
Mailing Address - Country:US
Mailing Address - Phone:907-225-4350
Mailing Address - Fax:907-247-0978
Practice Address - Street 1:605 GATEWAY CT
Practice Address - Street 2:
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-5672
Practice Address - Country:US
Practice Address - Phone:907-225-4350
Practice Address - Fax:907-247-0978
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK203304163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health