Michelle Bender Gibson, NP
Nurse Practitioner in South Boston, VA. Individual provider (NPI-1).
NPI number1124077136
StatusActive
Last updated in NPPESMar 8, 2010
Details
- NPI
- 1124077136
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Michelle Bender Gibson
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2006
- Last updated
- Mar 8, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0017137534 | VA | Yes |
Practice location
2232 Wilborn Ave, Suite DHematology Oncology Practice Of Southside Va, PC
South Boston, VA 24592-1662
Phone 434-575-1212 · Fax 434-575-1130
Mailing address
2232 Wilborn Ave, Suite DHematology Oncology Practice Of Southside Va, PC
South Boston, VA 24592-1662
Phone 434-575-1212 · Fax 434-575-1130
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