Individual
WHITTANY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
232 MANATEE AVE E, BRADENTON, FL 34208
(941) 254-4957
(941) 254-4958
Mailing address
367 S GULPH RD, ATTN: IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(610) 382-4943
(610) 878-3965
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
9493
FL
133NN1002X
Nutrition Education Nutritionist
9493
FL
133V00000X
Registered Dietitian
9493
FL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
9493
FL
Other
Enumeration date
10/17/2019
Last updated
07/23/2020
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