Individual
VIVIEN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
121 RED SCHOOLHOUSE RD, FISHKILL, NY 12524-2810
(845) 831-6600
Mailing address
8 SYCAMORE DR, BEACON, NY 12508-3926
(845) 943-8798
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402712
NY
Other
Enumeration date
07/27/2019
Last updated
07/27/2019
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