Most Relevant Information
Provider Data
| NPI Number: | 1003218876 |
| Provider Name: | WILLIAM G GIBSON FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 2512775 |
Most Important Dates
| Enumeration Date: | 09/23/2014 |
| Last Updated: | 08/22/2023 |
Provider Practice Location
460 S ELIOT AVE
RUSH CITY
MN
550696505
Practice Location Phone/Fax
| Phone: | 3203580987 |
| Fax: | 3203583422 |
Provider Mailing Location
PO BOX 370
RUSH CITY
MN
550690370
Provider Mailing Phone/Fax
| Phone: | 3203580987 |
| Fax: | 3203583422 |