person
Radine A Gibson
Pediatric Nurse Practitioner in Morgantown, West Virginia
NPI 1083794150

Radine A Gibson is a Pediatric Nurse Practitioner based in Morgantown, WV and is specialized in Pediatrics. Radine A Gibson practices in Morgantown, WV. The NPI Number for Radine A Gibson is 1083794150 and holds a License No. 048891 (West Virginia).

The current practice location address for Radine A Gibson is 1 Stadium Drive, Morgantown, WV and can be reached out via phone at 304-598-4800 and via fax at 304-293-6963.

Location: 1 Stadium Drive, Morgantown, WV, 26507-0897
person
Provider Profile Details
NPI Number
1083794150
Provider Name
Radine A Gibson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Stadium Drive, Morgantown, WV, 26507-0897
Phone Number
304-598-4800
Fax Number
304-293-6963
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0167154000 05 WV
institution
Provider Business Practice Location Address Details
Address
1 Stadium Drive
City
State
Zip
26506
Phone Number
304-598-4800
Fax Number
304-293-6963
person
Provider Business Mailing Address Details
Address
1 Stadium Drive
City
State
Zip
26506
Phone Number
304-598-4800
Fax Number
304-293-6963
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
048891 (West Virginia)
Definition
Definition to come...
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