Individual
DEBRA K GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2242 W SOUTHERN AVE, MESA, AZ 85202-4704
(480) 750-0095
(480) 750-0097
Mailing address
11112 E CHESTNUT CT, SUN LAKES, AZ 85248-8244
(480) 570-1339
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
287174
AZ
Other
Enumeration date
02/14/2023
Last updated
06/21/2024
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