Doctor Name: | MRS. LINDA MARIE GIBSON-YOUNG |
NPI Number: | 1578538062 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 5835776 |
Business Practice Address: | 31337 Prestwick Ave Sorrento, FL - 327769023 |
Business Phone Number: | 2055156491 |
Business Fax Number: | |
Mailing Address: | 31337 Prestwick Ave, SORRENTO |
State: | FL |
Postal Code: | 327769023 |
Phone Number: | 2055156491 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2006 |
NPI Last Update Date: | 11/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | 5835776 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |