Provider Demographics
NPI:1811686355
Name:GIBBINGS, ALANA MARIA (APRN)
Entity type:Individual
Prefix:MRS
First Name:ALANA
Middle Name:MARIA
Last Name:GIBBINGS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4130 SW 84TH TER
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-2953
Mailing Address - Country:US
Mailing Address - Phone:954-309-5232
Mailing Address - Fax:
Practice Address - Street 1:4130 SW 84TH TER
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-2953
Practice Address - Country:US
Practice Address - Phone:954-309-5232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9408210163W00000X
FL11027583363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse