NPI 1649136912 · live from the CMS NPI Registry
Gibson Surgical Assisting, PLLC
Registered Nurse, Registered Nurse First Assistant in Phoenix, AZ. National Provider Identifier 1649136912, active.
NPI record
| NPI | 1649136912 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 4539 N 22nd St Ste N, Phoenix, AZ 85016 |
| Practice phone | 480-442-3462 |
| Enumerated | December 31, 2025 |
| Last updated | December 31, 2025 |
| Authorized official | Matthew Gibson, Crnfa |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.