Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS GIBSON
Active Sole ProprietorNICHOLAS GIBSON is a Van Provider healthcare provider located in SULLIVAN, Missouri. NPI 1922866359 is currently active in the NPPES registry. Verify at CMS.
Van Provider · SULLIVAN, MO
Registration Details
- NPI Number
- 1922866359
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 11, 2024 (2.4331341790492 yrs)
- Last Updated
- Mar 11, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1191 ELMONT RDSULLIVAN, MO, 630805126Browse MO providers · Browse ZIP 63080
- Phone
- 5732058376
- Primary Specialty
-
Van Provider
344600000X
- Additional Specialty
- Van Provider
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.