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Larry Ryan Gibson, NURSEPRACTITIONER
Adult Health Nurse Practitioner in Greensboro, North Carolina
NPI 1518326743

Larry Ryan Gibson is an Adult Health Nurse Practitioner based in Greensboro, NC and is specialized in Adult Health. Larry Ryan Gibson practices in Greensboro, NC and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Larry Ryan Gibson is 1518326743 and holds a License No. 232904 (North Carolina).

The current practice location address for Larry Ryan Gibson is 509 N Elam Ave, Greensboro, NC and can be reached out via phone at 336-274-1114 and via fax at 336-232-5325.

Location: 509 N Elam Ave, Greensboro, NC, 27403-1118
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Provider Profile Details
NPI Number
1518326743
Provider Name
Larry Ryan Gibson
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
509 N Elam Ave, Greensboro, NC, 27403-1118
Phone Number
336-274-1114
Fax Number
336-232-5325
Provider Enumeration Date
02/16/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
562140200 01 NC TAX IDENTIFICATION
institution
Provider Business Practice Location Address Details
Address
509 N Elam Ave
City
State
Zip
27403-1118
Phone Number
336-274-1114
Fax Number
336-232-5325
person
Provider Business Mailing Address Details
Address
509 N Elam Ave
City
State
Zip
27403-1118
Phone Number
336-274-1114
Fax Number
336-232-5325
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
232904 (North Carolina)
Definition
Definition to come...
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