Individual
THIAGO GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP-FNP
Contact information
Practice address
2101 MEDICAL PARK DR STE 300, SILVER SPRING, MD 20902-4053
(301) 802-6493
(844) 772-9186
Mailing address
2101 FIELDBROOK LN, MOUNT AIRY, MD 21771-4055
(301) 367-4046
(844) 772-9186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R197629
MD
Other
Enumeration date
07/24/2016
Last updated
12/08/2021
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