Individual
CARLA M GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
12655 OLIVE BLVD, 4TH FLOOR, SAINT LOUIS, MO 63141-6362
(314) 851-1000
(314) 851-4477
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 851-1000
(314) 851-4477
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
2005027068
MO
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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