Individual
SUE ANN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
410 CHURCH ST SE, BOYNTON HEALTH SERVICE, MINNEAPOLIS, MN 55455-0340
(612) 625-8400
(612) 625-7155
Mailing address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0340
(612) 624-1444
(612) 625-7155
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R147328-3
MN
Other
Enumeration date
11/12/2006
Last updated
08/11/2010
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