Individual
MRS. CHERYL STRUBE GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
35 W DUNLAP AVE, PHOENIX, AZ 85021-3523
(623) 915-8763
(623) 915-8762
Mailing address
35 W DUNLAP AVE, PHOENIX, AZ 85021-3523
(623) 915-8763
(623) 915-8762
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN079708
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN079708
REG NURSE LICENSE
AZ
Enumeration date
02/22/2007
Last updated
07/08/2007
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