Individual
MS. RHONDA LAMAR GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
147 FOX SQUIRREL CIR, COLUMBIA, SC 29209-4478
(803) 543-9401
Mailing address
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343
(803) 543-9401
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
17515
SC
Other
Enumeration date
10/16/2012
Last updated
06/23/2020
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