Individual provider · Type 1 NPI

Ethan William Gingras, NURSE PRACTITIONER

Family Nurse Practitioner · Dallas, TX

NPI number 1225520455 Active

Practice location

39769 I-20
Dallas, TX 75237

Call (972) 780-0802 Map

Mailing address

798 Deverson Dr
Rockwall, TX 75087-7172

Other practice locations

  • 3090 N Goliad St, Rockwall, TX 75087-7007 · (972) 722-0011

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP137475 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1225520455

Ethan William Gingras, NURSE PRACTITIONER's National Provider Identifier is 1225520455, issued on Jun 4, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Mar 31, 2023.