Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
JOANNA ANTONINA GIBSON
Active
Individual
JOANNA ANTONINA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
050172
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P00771165
MEDICARE RAILROAD
MN
Enumeration date
11/15/2006
Last updated
03/26/2013
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