IndividualActive
Cassendre Gibbs, CRNP
NPI 1679056121 · Nurse Practitioner · Granger, WA
Provider details
- NPI number
- 1679056121
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- AP70089948 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
115 Sunnyside Ave Ste a
Granger, WA 98932-9348
Phone: (509) 865-6450
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 190
Toppenish, WA 98948-0190
Additional practice locations (1)
- 1350 Middleford Rd Ste 501Seaford, DE 19973-3664Phone: (302) 444-0190
Registry dates
- Enumerated
- 2018-09-11
- Last updated
- 2026-03-30
- Certified
- 2026-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.