Individual
DIANNA M. GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-5438
(508) 856-5911
Mailing address
PO BOX 824, NAPLES, ME 04055-0824
(207) 693-5302
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
51557
ME
367500000X
Certified Registered Nurse Anesthetist
RN178524
MA
367500000X
Certified Registered Nurse Anesthetist
RNA29668
RI
Other
Enumeration date
06/29/2006
Last updated
11/24/2020
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