Individual provider · Type 1 NPI
Caley Gibson
Critical Care Medicine Registered Nurse · Detroit, MI
NPI number
1295697126
Active
Practice location
3990 John R St
Detroit, MI 48201-2097
Mailing address
23126 Doremus St
St. Clr Shores, MI 48080-2752
Other practice locations
- 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 · (248) 898-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 4704361732 (MI) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1295697126
Caley Gibson's National Provider Identifier is 1295697126, issued on Dec 1, 2025. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Detroit, MI. The record was last updated on Dec 1, 2025.