Deonte Alonzo Gibbs I, MN-CNL, PMHNP-BC

NPI #1790428357 in Waukesha, Wisconsin

Provider Information

NPI Number
1790428357
Entity Type
Individual
Name
Deonte Alonzo Gibbs I, MN-CNL, PMHNP-BC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse - Psychiatric/Mental Health, Adult
Credential
MN-CNL, PMHNP-BC
Enumeration Date
Apr 20, 2022
Last Updated
Apr 20, 2022

Practice Location

Address
2428 N GRANDVIEW BLVD STE 102
ZIP Code
53188-6906
Phone
(262) 875-4521

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Psychiatric/Mental Health, AdultPsychiatric/Mental Health, Adult

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