Individual
MRS. LINDA MARIE GIBSON-YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
31337 PRESTWICK AVE, SORRENTO, FL 32776-9023
(205) 515-6491
Mailing address
31337 PRESTWICK AVE, SORRENTO, FL 32776-9023
(205) 515-6491
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
5835776
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5835776
NSG LICENSE
AL
Enumeration date
02/20/2006
Last updated
11/13/2009
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