Gibson, Sue Ann

Gibson, Sue Ann is an individual health care provider with primary practice located at 410 Church St Se Boynton Health Service, Minneapolis MN 55455-0340. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gibson, Sue Ann can be contacted via phone (612) 625-8400.

Contact Information

Primary practice address
410 Church St Se Boynton Health Service Minneapolis MN 55455-0340
Phone: (612) 625-8400
Fax: (612) 625-7155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R147328-3 Minnesota

Profile Details

NPI number 1477624534
LBN Legal business name Gibson, Sue Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2006
Last updated Aug 11th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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