Organization
PRO HEALTH ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VONDA GAIL GIBSON FNP-BC, RN (NURSE PRACTIONER, RN)
(636) 385-3347
Entity
Organization
Contact information
Practice address
4 DOBBS LN, LAKE SAINT LOUIS, MO 63367-4216
(636) 385-3347
Mailing address
PO BOX 93, WENTZVILLE, MO 63385-0093
(636) 385-3347
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/21/2021
Last updated
01/15/2025
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