DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WILLIAM G GIBSON IV, FNP-C

Active

WILLIAM G GIBSON IV, FNP-C is a Family Nurse Practitioner healthcare provider located in RUSH CITY, Minnesota. NPI 1003218876 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · RUSH CITY, MN

Registration Details

NPI Number
1003218876
Provider Type
Individual
Gender
Male
NPI Issued
Sep 23, 2014 (11.872537601991 yrs)
Last Updated
Aug 22, 2023
Licenses
2512775 (MN)
COA.17029-NP (OH)
10136 (MN)

Practice Information

Address
460 S ELIOT AVE
RUSH CITY, MN, 550696505
Browse MN providers · Browse ZIP 55069
Phone
3203580987
Fax
3203583422
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Family Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.