Tracey Gibson RNFA

NPI 1225279946 - Registered Nurse - 163WR0006X

NPI Details
NPI 1225279946
Gender Female
Enumeration Date 03/09/2009
Last Updated 03/09/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
12855 N 40 DR
SUITE 100
SAINT LOUIS MO, 63141-8657, US
Phone (314) 878-7150
Fax (314) 878-3051
Business Location
12855 N 40 DR
SUITE 100
SAINT LOUIS MO, 63141-8657, US
Phone (314) 878-7150
Fax (314) 878-3051
Toxanomy
Taxonomy Code 163WR0006X
License State Missouri
License Number 123572
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According to our database, Miss Tracey Gibson RNFA NPI is 1225279946, taxonomy code is 163WR0006X and license number is 123572, license state is located at Missouri. Tracey Gibson RNFA physically located at 12855 N 40 Dr, Saint Louis MO, 63141-8657. NPI Number Tracey Gibson RNFA has the Individual type.

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1225279946 NPI number is provided on an as is basis without warranty of any kind. 1225279946 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey Gibson RNFA are for informational purposes only.