Individual
ANNE MARIE GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
ASSISI HOUSE, MERCY LIFE, 600 RED HILL ROAD, ASTON, PA 19014
(610) 659-5145
Mailing address
1098 W BALTIMORE PIKE, SUITE 3101, MEDIA, PA 19063-5139
(610) 891-9277
(610) 891-7778
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
SP011016
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770974661
NPI
PA
Enumeration date
04/26/2011
Last updated
12/17/2021
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