| Doctor Name: | MS. CHERYL L. GIBSON |
| NPI Number: | 1134371180 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 18243 |
| Business Practice Address: | 1375 University St Healdsburg, CA - 954483382 |
| Business Phone Number: | 7074333383 |
| Business Fax Number: | 7074337210 |
| Mailing Address: | 1375 University St, HEALDSBURG |
| State: | CA |
| Postal Code: | 954483382 |
| Phone Number: | 7074333383 |
| Fax Number: | 7074337210 |
| NPI Enumeration Date: | 10/21/2008 |
| NPI Last Update Date: | 07/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 18243 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |