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Contact Information

LAUREN B GIBSON, PA-C
4424 E FLAMINGO AVET
STE 110
NAMPA, ID83687
 Phone: 208-302-3200
 Fax: 208-302-3255
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LAUREN B GIBSON · (Female)

NPI Number 1336372515
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/03/2009
Last updated 05/26/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers
  • DE License # C5-0000671
  • DE License # C50000671
  • ID License # PA-1934
Hospital affiliation(s)
  • SAINT ALPHONSUS MEDICAL CENTER - NAMPA - (Acute Care)
    1512 TWELFTH AVENUE ROAD
    NAMPA, ID 83686
  • ST ALPHONSUS MEDICAL CENTER - ONTARIO INC - (Acute Care)
    351 SW 9TH STREET
    ONTARIO, OR 97914
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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