Individual provider · Type 1 NPI
Penelope M. Gibson, PA
Medical Physician Assistant · Burlington, VT
NPI number
1821166679
Active
Practice location
111 Colchester Ave, Fahc Hematology Oncology, East Pavilion Level 2
Burlington, VT 05401-1473
Mailing address
2 Hideaway Ln
Williston, VT 05495-9426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0550030790 (VT) |
Medical Physician Assistant: Definition to come...
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About NPI 1821166679
Penelope M. Gibson, PA's National Provider Identifier is 1821166679, issued on Dec 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Burlington, VT. The record was last updated on Jul 8, 2007.