NPI 1013122548

Michael Frank Gibson, NP

Practitioner Pediatric Nurse Practitioner Provo, UT

Practice location

Address: 1355 North University Ave Suite 210, Provo, UT 84604
Phone: (801) 373-8930
Fax: (801) 377-6811

Registered specialties

Pediatric Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence 2668834405 (UT)

Other Nurse Practitioner providers in Utah →

Registry record

NPI: 1013122548
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2007
Record last updated: 21 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.