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Individual
MRS. MELINDA FAYE GIBSON
Active
Individual
MRS. MELINDA FAYE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-069655
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225930
—
AL
01
—
51218738
BCBS ALABAMA
AL
Enumeration date
02/13/2009
Last updated
02/13/2019
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