Individual provider · Type 1 NPI
Michael Frank Gibson, NP
Pediatric Nurse Practitioner · Provo, UT
NPI number
1013122548
Active
Practice location
1355 North University Ave, Suite 210
Provo, UT 84604
Fax (801) 377-6811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2668834405 (UT) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1013122548
Michael Frank Gibson, NP's National Provider Identifier is 1013122548, issued on May 10, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Provo, UT. The record was last updated on Feb 21, 2013.