Individual provider · Type 1 NPI

Teliah Rae Gibson, LPN, CBS

Licensed Practical Nurse · East Stroudsburg, PA

NPI number 1063301133 Active

Practice location

500 Plaza Ct Ste A
East Stroudsburg, PA 18301-8262

Fax (570) 421-9014

Mailing address

5106 Pine Ridge Rd N
East Stroudsburg, PA 18302-8673

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
Lactation Consultant (Non-RN) 174N00000XNone listed
Licensed Practical Nurse Primary 164W00000X310699 (PA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

3 other providers at this address

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About NPI 1063301133

Teliah Rae Gibson, LPN, CBS's National Provider Identifier is 1063301133, issued on Jul 2, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in East Stroudsburg, PA. The record was last updated on Jul 2, 2025.