Individual
MS. MARTHA CAROLYN GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2463 MONTEREY DR, SIDNEY, NE 69162-2353
(308) 254-0440
Mailing address
2463 MONTEREY DR, SIDNEY, NE 69162-2353
(308) 254-0440
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
18500
NE
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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