Individual
DALE R GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
715 N KANSAS AVE, SUITE 206, HASTINGS, NE 68901-4453
(402) 460-5555
(402) 483-3297
Mailing address
1600 S 48TH ST, STE 600, LINCOLN, NE 68506-1283
(402) 483-3333
(402) 483-3297
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110258
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026072300
—
NE
05
—
10026072400
—
NE
05
—
47070592300
—
NE
05
—
47070592301
—
NE
05
—
47070592302
—
NE
05
—
47070592305
—
NE
05
—
47070592306
—
NE
05
—
47070592313
—
NE
Enumeration date
10/04/2006
Last updated
10/14/2015
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