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

SUSAN PHILLIPS GIBSON, RPH, NUTRITIONIST

Active Sole Proprietor

SUSAN PHILLIPS GIBSON, RPH, NUTRITIONIST is a Geriatric Pharmacist healthcare provider located in MENLO PARK, California. NPI 1114743010 is currently active in the NPPES registry. Verify at CMS.

Geriatric Pharmacist · MENLO PARK, CA

Registration Details

NPI Number
1114743010
Provider Type
Individual
Gender
Female
NPI Issued
Nov 25, 2024 (1.728013929766 yrs)
Last Updated
Nov 25, 2024
License
26015162A (IN)
Sole Proprietor
Yes

Practice Information

Address
1004 WINDERMERE AVE
MENLO PARK, CA, 940252314
Browse CA providers · Browse ZIP 94025
Phone
6502437135
Primary Specialty
Geriatric Pharmacist
1835G0303X
Additional Specialty
Geriatric Pharmacist
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.