Individual
MS. KAITLYN MARIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, CPNP-PC
Contact information
Practice address
53 MARION RD, WAREHAM, MA 02571-1406
(508) 295-8622
Mailing address
8 MOUNTAIN ROCK LN, NORFOLK, MA 02056-1772
(508) 272-5720
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2303234
MA
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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