Individual
HEIDI R GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
1650 HUNTINGDON PIKE, SUITE 156, MEADOWBROOK, PA 19046-8004
(215) 947-7924
(215) 947-0187
Mailing address
1650 HUNTINGDON PIKE, SUITE 156, MEADOWBROOK, PA 19046-8004
(215) 947-7924
(215) 947-0187
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
VP003820C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500005396
RAILROAD MEDICARE
PA
Enumeration date
12/14/2006
Last updated
11/21/2016
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