Individual
SUSAN ELAINE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
34 N. PHILA. BLVD., ABERDEEN, MD 21001
(410) 273-5626
(410) 272-5467
Mailing address
119 BENNETT AVE, NORTH EAST, MD 21901-6302
(410) 287-7469
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R087658
MD
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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