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Individual

MS. CAROL CECILIA GIBSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
401 CARPENTER RD, ARLINGTON, VA 22211-1009
(703) 696-3552
(703) 696-3552
Mailing address
9200 CARENDON CT, UPPER MARLBORO, MD 20772-5207
(703) 696-3552
(703) 696-6320

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
UP000909G
PA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
UP000909G
PA

Other

Enumeration date
11/04/2005
Last updated
09/11/2025
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