Individual provider · Type 1 NPI
Rada Gibson
Psychiatric/Mental Health Nurse Practitioner · St. Louis, MO
NPI number
1508397910
Active
Practice location
10018 Kennerly Rd
St. Louis, MO 63128-2106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2014007149 (MO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1508397910
Rada Gibson's National Provider Identifier is 1508397910, issued on Mar 27, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Louis, MO. The record was last updated on Dec 13, 2019.