Individual
MIKAYLA EMILINE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10668 S MONICA RIDGE WAY APT Y5, SOUTH JORDAN, UT 84095-8055
(801) 941-6565
Mailing address
10668 S MONICA RIDGE WAY APT Y5, SOUTH JORDAN, UT 84095-8055
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
9412042-3102
UT
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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