NPI 1255866554 · live from the CMS NPI Registry
Debra Gibson, RN, BSN, CDE
Registered Nurse, Diabetes Educator in Tulsa, OK. National Provider Identifier 1255866554, active.
NPI record
| NPI | 1255866554 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Diabetes Educator 163WD0400X |
| Practice location | 1923 S Utica Ave, Tulsa, OK 74104 |
| Practice phone | 918-744-3623 |
| Mailing address | 1717b S Utica Ave Ste 205, Tulsa, OK 74104 |
| Enumerated | April 24, 2017 |
| Last updated | April 24, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator primary | 163WD0400X | 0045042 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.