Gibson, Colleen
Gibson, Colleen is an individual health care provider with primary practice located at 700 S Park St Ste A , Madison WI 53715-1830. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gibson, Colleen can be contacted via phone (608) 260-2900.Contact Information
Primary practice address
700 S Park St Ste A
Madison WI 53715-1830
Phone: (608) 260-2900
Fax: (608) 260-2976
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 15152 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 1515233 | Wisconsin |
Profile Details
NPI number | 1659130888 |
---|---|
LBN Legal business name | Gibson, Colleen |
Credentials | APNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 18th, 2024 |
Last updated | May 9th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659130888 | NPPES |
Wisconsin | MEDICAID | 1659130888 |
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