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Individual

CHERYL L. GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
8911 LAKEWOOD DR STE 13, WINDSOR, CA 95492-7857
(707) 387-3910
(707) 836-1942
Mailing address
200 W CENTER STREET PROMENADE STE 400, ANAHEIM, CA 92805-3960
(714) 449-4800
(714) 449-4956

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
18243
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18243
BOARD OF NURSING
CA
Enumeration date
10/21/2008
Last updated
03/17/2018
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