Individual
MRS. PHYLLIS ANNE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RN
Contact information
Practice address
2140 E ELLSWORTH RD, ANN ARBOR, MI 48108-2552
(734) 222-9556
Mailing address
2140 E ELLSWORTH RD, ANN ARBOR, MI 48108-2552
(734) 222-9556
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704168464
MI
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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