Individual provider · Type 1 NPI

Stephanie Gibson

Student in an Organized Health Care Education/Training Program · Romulus, MI

NPI number 1952210312 Active

Practice location

6051 Swan Lake Dr
Romulus, MI 48174-6317

Fax (734) 939-0167

Mailing address

9315 Telegraph Rd
Redford, MI 48239-1260

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1952210312

Stephanie Gibson's National Provider Identifier is 1952210312, issued on Sep 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Romulus, MI. The record was last updated on Sep 2, 2026.