Individual
SUSAN G. GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3928 WASHINGTON RD STE 220, MC MURRAY, PA 15317-2594
(724) 941-8877
(724) 941-4745
Mailing address
701 TECHNOLOGY DR STE 150, CANONSBURG, PA 15317-9531
(412) 531-2290
(412) 531-2948
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP013902
PA
363LP2300X
Primary Care Nurse Practitioner
SP013902
PA
Other
Enumeration date
06/20/2014
Last updated
08/04/2021
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