Individual
AMANDA M GIBSON
Active
Individual
AMANDA M GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0024179588
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN1015676
DC
Other
Enumeration date
07/31/2020
Last updated
11/12/2020
Update your record
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