Most Relevant Information
Provider Data
| NPI Number: | 1003036559 |
| Provider Name: | CHRISTINE GIBSON C.N.M. |
| Entity Type: | Individual |
| Taxonomy Code: | 363LW0102X |
| Specialty: | Nurse Practitioner |
| License Number: | NMW1163 |
Most Important Dates
| Enumeration Date: | 04/26/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1370 MEDICAL CENTER DR
SUITE E
ROHNERT PARK
CA
949282934
Practice Location Phone/Fax
| Phone: | 7075843528 |
| Fax: | 7075843924 |
Provider Mailing Location
521 NORLEE ST
SEBASTOPOL
CA
954722765
Provider Mailing Phone/Fax
| Phone: | 7075843528 |
| Fax: | 7075843924 |