Individual
MICHELLE GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 REGENT ST APT 514, JERSEY CITY, NJ 07302-6262
(518) 429-5626
Mailing address
65 BERGEN ST, NEWARK, NJ 07107-3001
(518) 429-5626
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
26NR24408600
NJ
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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