Most Relevant Information
Provider Data
| NPI Number: | 1003002858 |
| Provider Name: | AMY R. GIBSON APN-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NC08675800 |
Most Important Dates
| Enumeration Date: | 09/14/2007 |
| Last Updated: | 09/14/2007 |
Provider Practice Location
1314 PARK AVE
PLAINFIELD
NJ
070603253
Practice Location Phone/Fax
| Phone: | 9082228970 |
| Fax: | 9082228762 |
Provider Mailing Location
1314 PARK AVE
PLAINFIELD
NJ
070603253
Provider Mailing Phone/Fax
| Phone: | 9082228970 |
| Fax: | 9082228762 |