Individual
DEBORAH L GIBBPOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 689-9770
(218) 333-5594
Mailing address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 689-9770
(218) 333-5594
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R120144-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F1007181
AANP CERTIFICATION
MN
Enumeration date
11/28/2007
Last updated
04/17/2014
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