Individual provider · Type 1 NPI

Siata Anica Gibson, NP-C

Family Nurse Practitioner · Temple Hills, MD

NPI number 1023598091 Active

Practice location

4467 Old Branch Ave Ste 207
Temple Hills, MD 20748-1854

Call (301) 630-3900 Map

Mailing address

9002 Early April Way
Columbia, MD 21046-1473

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR175106 (MD)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1023598091

Siata Anica Gibson, NP-C's National Provider Identifier is 1023598091, issued on Aug 18, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Temple Hills, MD. The record was last updated on Jun 10, 2023.