Individual
CAROL MARIE GIBBONS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5319 HOAG DRIVE, SUITE 240, ELYRIA, OH 44035
(440) 930-6060
(440) 934-8881
Mailing address
3220 LAURA LN, WESTLAKE, OH 44145
(216) 513-5985
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN155094
OH
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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