Individual
MS. NANCY CATHERINE GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
788 E RIVER DR, DE PERE, WI 54115-4132
(920) 632-4669
Mailing address
788 EAST RIVER DRIVE, DE PERE, WI 54115
(920) 632-4669
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
120669-030
WI
163WH0200X
Home Health Registered Nurse
120669-030
WI
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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