Individual
NATALIE JEAN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
169 N GATEWAY DR STE 170, PROVIDENCE, UT 84332-9855
(435) 213-3597
Mailing address
274 N MAIN ST, LOGAN, UT 84321-3915
(435) 753-1600
(435) 753-9521
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8738041-4405
UT
Other
Enumeration date
06/23/2016
Last updated
02/21/2020
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