Matthew A Gibson, CRNFA
Registered Nurse, Registered Nurse First Assistant in Phoenix, AZ. Individual provider (NPI-1).
NPI number1932692829
StatusActive
Last updated in NPPESDec 6, 2025
Details
- NPI
- 1932692829
- Entity type
- Individual (NPI-1)
- Name
- Matthew A Gibson
- Credential
- CRNFA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2018
- Certification date
- Dec 6, 2025
- Last updated
- Dec 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | RN195359 | AZ | Yes |
Practice location
4539 N 22nd St Ste NPhoenix, AZ 85016-4639
Phone 480-442-3462
Mailing address
4539 N 22nd St Ste NPhoenix, AZ 85016-4639
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