Individual
MEGAN MARIE GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
401 W POPLAR ST, WALLA WALLA, WA 99362-2862
(509) 897-3400
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61076522
WA
Other
Enumeration date
02/04/2019
Last updated
11/16/2021
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