Individual
MS. BRIDGET GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1522 E SUSQUEHANNA AVE, PHILADELPHIA, PA 19125-2921
(484) 467-0059
Mailing address
1522 E SUSQUEHANNA AVE, PHILADELPHIA, PA 19125-2921
(484) 467-0059
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP014417
PA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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