person
Siata Anica Gibson, NP-C
Family Nurse Practitioner in Temple Hills, Maryland
NPI 1023598091

Siata Anica Gibson is a Family Nurse Practitioner based in Columbia, MD and is specialized in Family. Siata Anica Gibson practices in Temple Hills, MD and has the professional credentials of NP-C. The NPI Number for Siata Anica Gibson is 1023598091 and holds a License No. R175106 (Maryland).

The current practice location address for Siata Anica Gibson is 4467 Old Branch Ave Ste 207, Temple Hills, MD and can be reached out via phone at 301-630-3900.

Location: 4467 Old Branch Ave Ste 207, Temple Hills, MD, 21046-1473
person
Provider Profile Details
NPI Number
1023598091
Provider Name
Siata Anica Gibson
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
4467 Old Branch Ave Ste 207, Temple Hills, MD, 21046-1473
Phone Number
301-630-3900
Fax Number
Provider Enumeration Date
08/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4467 Old Branch Ave Ste 207
City
State
Zip
20748-1854
Phone Number
301-630-3900
Fax Number
person
Provider Business Mailing Address Details
Address
4467 Old Branch Ave Ste 207
City
State
Zip
20748-1854
Phone Number
301-630-3900
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R175106 (Maryland)
Definition
Definition to come...
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