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Contact Information

MICHAEL F GIBSON, NP
1355 NORTH UNIVERSITY AVE
SUITE 210
PROVO, UT84604
 Phone: 801-373-8930
 Fax: 801-377-6811
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MICHAEL F GIBSON · (Male)

NPI Number 1013122548
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 05/10/2007
Last updated 02/21/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 2668834405
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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