Gibson, Annmarie Lucille

Gibson, Annmarie Lucille is an sole proprietor health care provider with primary practice located at 4386 Middledale Ave , West Bloomfield MI 48323-1160. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gibson, Annmarie Lucille can be contacted via phone (248) 420-1247.

Contact Information

Primary practice address
4386 Middledale Ave West Bloomfield MI 48323-1160
Phone: (248) 420-1247
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704202970 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704202970 Michigan

Profile Details

NPI number 1659753259
LBN Legal business name Gibson, Annmarie Lucille
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2015
Last updated Sep 11th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659753259 NPPES
Michigan MEDICAID 1659753259

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