Individual
BRIANA GIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1430 OLIVE ST, SUITE 100, SAINT LOUIS, MO 63103-2303
(314) 621-5000
Mailing address
1430 OLIVE ST, SUITE 100, SAINT LOUIS, MO 63103-2303
(314) 621-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2013013514
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013013514
REGISTERED NURSE LICENSE NUMBER
MO
Enumeration date
09/24/2015
Last updated
09/24/2015
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