NPI 1942150164
Carol Marie Gibson, NONE
Practice location
- Address
- 4650 Hawthorne Rd STE 3b, Chubbuck, ID 83202-2376
- Phone
- (208) 252-5621
- Fax
- (208) 252-5621
Registered specialties
Religious Nonmedical Nursing Personnel
Primary
Registry record
- NPI
- 1942150164
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Jan 2026
- Record last updated
- 28 Jan 2026
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.