Meredith Gibson, CPNP-PC
Nurse Practitioner, Pediatrics in Upper Marlboro, MD. Individual provider (NPI-1).
NPI number1669922019
StatusActive
Last updated in NPPESOct 10, 2016
Details
- NPI
- 1669922019
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Meredith Gibson
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2016
- Last updated
- Oct 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | R206670 | MD | Yes |
Practice location
9692 Marlboro PikeUpper Marlboro, MD 20772
Phone 301-599-7300
Mailing address
2514 Markham Ln2
Hyattsville, MD 20785-2668
Phone 720-297-0953
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