Individual
KAREN RENEE GIBBS GREEN
Active
Individual
KAREN RENEE GIBBS GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
608423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
608423
RN LICENSURE
TX
Enumeration date
08/26/2020
Last updated
08/26/2020
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