Individual
DANIELLE LORIEL GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2611 WAYNE AVE, DAYTON, OH 45420-1833
(937) 256-7801
Mailing address
2611 WAYNE AVE, DAYTON, OH 45420-1833
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
509821
OH
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
509821
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
509821
OH
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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