Individual provider · Type 1 NPI
Lisa Dawn Gibbs, RN
Child & Adolescent Psychiatric/Mental Health Registered Nurse · San Leandro, CA
NPI number
1609535376
Active
Practice location
2050 Fairmont Dr
San Leandro, CA 94578-1001
Fax (510) 895-7407
Mailing address
4115 Ravenwood Pl
Castro Valley, CA 94546-6015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | 814892 (CA) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1609535376
Lisa Dawn Gibbs, RN's National Provider Identifier is 1609535376, issued on Dec 10, 2021. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in San Leandro, CA. The record was last updated on Dec 10, 2021.