Individual
MRS. LEAH NERREN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 739-7218
Mailing address
PO BOX 12181, JACKSON, WY 83002-2181
(423) 987-0021
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
32429
WY
Other
Enumeration date
12/13/2013
Last updated
02/03/2021
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