| Doctor Name: | CHRISTINE GIBSON |
| NPI Number: | 1003036559 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | C.N.M. |
| License Number: | NMW1163 |
| Business Practice Address: | 1370 Medical Center Dr Suite E Rohnert Park, CA - 949282934 |
| Business Phone Number: | 7075843528 |
| Business Fax Number: | 7075843924 |
| Mailing Address: | 521 Norlee St, SEBASTOPOL |
| State: | CA |
| Postal Code: | 954722765 |
| Phone Number: | 7075843528 |
| Fax Number: | 7075843924 |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | NMW1163 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |