Individual provider · Type 1 NPI

Kathleen Rae Gibson

Licensed Practical Nurse · Peru, IN

NPI number 1821783887 Active

Practice location

1496 W Hoosier Blvd
Peru, IN 46970-3727

Call (765) 472-5032 Map

Fax (765) 472-8999

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X27056635A (IN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

11 other providers at this address

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About NPI 1821783887

Kathleen Rae Gibson's National Provider Identifier is 1821783887, issued on Apr 6, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Peru, IN. The record was last updated on Apr 6, 2023.