Individual
STEPHANIE GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1907 W 2ND ST, GRANDVIEW, WA 98930-1177
(801) 913-7271
Mailing address
1907 W 2ND ST, GRANDVIEW, WA 98930-1177
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP61527441
WA
Other
Enumeration date
02/01/2024
Last updated
02/15/2024
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