Siata Anica Gibson, NP-C
NPI #1023598091 in Temple Hills, Maryland
Provider Information
- NPI Number
- 1023598091
- Entity Type
- Individual
- Name
- Siata Anica Gibson, NP-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP-C
- Enumeration Date
- Aug 18, 2018
- Last Updated
- Jun 10, 2023
Practice Location
- Address
- 4467 OLD BRANCH AVE STE 207
- City
- Temple Hills
- State
- Maryland
- ZIP Code
- 20748-1854
- Phone
- (301) 630-3900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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