Mr. Michael Frank Gibson
Nurse Practitioner - Pediatrics
1355 North University Ave Suite 210
Provo
, Utah 84604
Mr. Michael Frank Gibson
Nurse Practitioner - Pediatrics
1355 North University Ave Suite 210
Provo
, Utah 84604
(801) 377-6811
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mr. Michael Frank Gibson
- 1355 North University Ave Suite 210
- Provo, UT
- Zip : 84604
- Fax : (801) 377-6811
- Phone : (801) 373-8930
Second Address
- Mr. Michael Frank Gibson
- 1355 North University Ave Suite 210
- Provo, UT
- Zip : 84604
- Fax : (801) 377-6811
- Phone : (801) 373-8930
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 2668834405 | UT |
National Provider Identifier
| NPI | 1013122548 |
|---|---|
| Provider Name | Mr. Michael Frank Gibson |
| First Address | Provo, UT 84604 |
| Second Address | Provo, UT 84604 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2007 |
| Last Update Date | 21/02/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.