Individual
BROOKE ANN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
3110 KERNER BLVD, SAN RAFAEL, CA 94901-5411
(808) 697-3517
(808) 697-3155
Mailing address
84-965 FARRINGTON HWY APT 404, WAIANAE, HI 96792-2035
(503) 351-0031
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95031357
CA
363LF0000X
Family Nurse Practitioner
APRN-4188-0
HI
Other
Enumeration date
08/15/2023
Last updated
08/27/2024
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