Individual
CATHERINE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP, RN
Contact information
Practice address
9411 N LAMAR BLVD STE 120, AUSTIN, TX 78753-4179
(512) 744-6000
Mailing address
9411 N LAMAR BLVD STE 120, AUSTIN, TX 78753-4179
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP124465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3530651-01
—
TX
Enumeration date
11/13/2014
Last updated
04/19/2016
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