Individual provider · Type 1 NPI

Carla M. Gibson, R.N.

Case Management Registered Nurse · St. Louis, MO

NPI number 1871753756 Active

Practice location

12655 Olive Blvd, 4th Floor
St. Louis, MO 63141-6362

Fax (314) 851-4477

Mailing address

PO Box 23340
St. Louis, MO 63156-3340

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400X2005027068 (MO)

Case Management Registered Nurse: Definition to come...

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About NPI 1871753756

Carla M. Gibson, R.N.'s National Provider Identifier is 1871753756, issued on Jun 13, 2008. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in St. Louis, MO. The record was last updated on Jun 13, 2008.