Individual provider · Type 1 NPI

Loretta Gibson, LPN

Licensed Practical Nurse · New Haven, CT

NPI number 1194148254 Active

Practice location

495 Congress Ave
New Haven, CT 06519-1312

Call (203) 781-4600 Map

Fax (203) 781-4624

Mailing address

1 Long Wharf Dr, Suite 321
New Haven, CT 06511-5991

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X29568 (CT)

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.

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About NPI 1194148254

Loretta Gibson, LPN's National Provider Identifier is 1194148254, issued on Jan 27, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in New Haven, CT. The record was last updated on Aug 11, 2025.