Individual
KATHLEEN ANNE GRIBBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2518 SE PINELAND DR, PORT ST LUCIE, FL 34952-8045
(919) 886-9005
Mailing address
2518 SE PINELAND DR, PORT ST LUCIE, FL 34952-8045
(919) 886-9005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9419111
FL
Other
Enumeration date
12/14/2017
Last updated
07/03/2020
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