Individual
TAMIKO M GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2401 E KATELLA AVE STE 625, ANAHEIM, CA 92806-5995
(800) 570-4701
Mailing address
15748 SW 49TH CT, MIRAMAR, FL 33027-4936
(786) 348-6062
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9332358
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9332358
FL
Other
Enumeration date
11/25/2016
Last updated
01/08/2025
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