Individual
HEIDI GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1794 N LAPEER RD STE A, LAPEER, MI 48446-7664
(810) 721-7476
(810) 721-7446
Mailing address
1814 S CEDAR ST, IMLAY CITY, MI 48444-9779
(810) 721-7476
(810) 721-7446
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704250491
MI
Other
Enumeration date
07/08/2019
Last updated
06/09/2021
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