Individual
MARY ELLEN GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 N JUSTICE ST, HENDERSONVILLE, NC 28791-3410
(828) 398-5244
Mailing address
82 PATTON AVE, ASHEVILLE, NC 28801-3319
(828) 398-5244
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
208029
NC
Other
Enumeration date
09/18/2008
Last updated
02/10/2017
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