Individual
SUSANNE W GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5457 TWIN KNOLLS RD STE 100, COLUMBIA, MD 21045-3263
(410) 689-7400
Mailing address
8186 LARK BROWN ROAD, STE 201, ELKRIDGE, MD 21075
(410) 730-3399
(410) 740-4744
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R093831
MD
Other
Enumeration date
08/02/2006
Last updated
04/12/2024
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