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Individual
MARY ELIZABETH GIBSON
Active
Individual
MARY ELIZABETH GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
123914
WV
363LF0000X
Family Nurse Practitioner
Primary
123914
WV
363LP2300X
Primary Care Nurse Practitioner
Primary
123914
WV
Other
Enumeration date
10/04/2025
Last updated
08/31/2026
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