Individual
MICHAEL GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
4 HIGH ST STE 213, NORTH ANDOVER, MA 01845-2679
(617) 529-8170
(978) 228-0126
Mailing address
4 HIGH ST STE 213, NORTH ANDOVER, MA 01845-2679
(617) 529-8170
(978) 228-0126
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2264515
MA
Other
Enumeration date
08/11/2015
Last updated
02/05/2024
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