Individual
CARLA ANNETTE GIBSON-DETERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
201 E GROVER ST, SHELBY, NC 28150-3917
(704) 487-3798
(704) 487-3394
Mailing address
PO BOX 601409, CHARLOTTE, NC 28260-1409
(919) 477-5152
(919) 477-5474
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NC
Other
Enumeration date
03/29/2006
Last updated
04/04/2008
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