Individual provider · Type 1 NPI

Michael L. Gibson, F.N.P.

Nurse Practitioner · Hayfork, CA

NPI number 1376774034 Active

Practice location

6961 Highway 3
Hayfork, CA 96041-6961

Fax (530) 628-5524

Mailing address

PO Box 220
Hayfork, CA 96041-0220

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X18917 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Another provider at this address

About NPI 1376774034

Michael L. Gibson, F.N.P.'s National Provider Identifier is 1376774034, issued on Jul 29, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hayfork, CA. The record was last updated on Jul 29, 2009.