Individual
MRS. ELIZABETH ANNE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, MS, NNP
Contact information
Practice address
2827 FORT MISSOULA RD, NICU, MISSOULA, MT 59804-7408
(406) 327-4058
Mailing address
2827 FORT MISSOULA RD, NICU, MISSOULA, MT 59804-7408
(406) 327-4058
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
24336
MT
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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