Individual
REBECCA LYNN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
880 SW 145TH AVE STE 202, PEMBROKE PINES, FL 33027-6171
(866) 849-0692
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041521247
IL
163W00000X
Registered Nurse
1018304
TX
163W00000X
Registered Nurse
140121
CT
163W00000X
Registered Nurse
251868
AZ
163W00000X
Registered Nurse
489557
OH
163W00000X
Registered Nurse
Primary
9542772
FL
163W00000X
Registered Nurse
RN2335878
MA
Other
Enumeration date
07/31/2024
Last updated
08/07/2024
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