Individual
MELVA GIBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP AND CNS
Contact information
Practice address
701 CASHUA FERRY RD, DARLINGTON, SC 29532-8488
(843) 777-4217
(843) 777-4296
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-4217
(843) 777-4296
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APN 1620
SC
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APN 1620
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0628
—
SC
Enumeration date
02/10/2006
Last updated
03/26/2009
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