person
Mr. Edward Brooke Gibson II, CPNP-AC
Pediatric Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1790305944

Edward Brooke Gibson II is a Pediatric Nurse Practitioner based in Brookhaven, PA and is specialized in Pediatrics. Edward Brooke Gibson II practices in Philadelphia, PA and has the professional credentials of CPNP-AC. The NPI Number for Edward Brooke Gibson II is 1790305944 and holds a License No. SP021857 (Pennsylvania).

The current practice location address for Edward Brooke Gibson II is 3401 Civic Center Blvd, Philadelphia, PA and can be reached out via phone at 800-879-2467.

Location: 3401 Civic Center Blvd, Philadelphia, PA, 19015-1638
person
Provider Profile Details
NPI Number
1790305944
Provider Name
Edward Brooke Gibson II
Credential
CPNP-AC
Provider Entity Type
Individual
Gender
Male
Address
3401 Civic Center Blvd, Philadelphia, PA, 19015-1638
Phone Number
800-879-2467
Fax Number
Provider Enumeration Date
04/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3401 Civic Center Blvd
City
State
Zip
19104-4319
Phone Number
800-879-2467
Fax Number
person
Provider Business Mailing Address Details
Address
3401 Civic Center Blvd
City
State
Zip
19104-4319
Phone Number
800-879-2467
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
SP021857 (Pennsylvania)
Definition
Definition to come...
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