Individual provider · Type 1 NPI

Susanne W. Gibbons, CRNP

Nurse Practitioner · Columbia, MD

NPI number 1649287293 Active

Practice location

5457 Twin Knolls Rd Ste 100
Columbia, MD 21045-3263

Mailing address

8186 Lark Brown Road, Ste 201
Elkridge, MD 21075

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR093831 (MD)

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…

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About NPI 1649287293

Susanne W. Gibbons, CRNP's National Provider Identifier is 1649287293, issued on Aug 2, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbia, MD. The record was last updated on Apr 12, 2024.