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Individual

COLLEEN GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-2976
Mailing address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-2976

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15152
WI
363LP2300X
Primary Care Nurse Practitioner
1515233
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1659130888
WI
Enumeration date
03/18/2024
Last updated
05/09/2024
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