IndividualActive
Susan Gibson, RPH, NUTRITIONIST
NPI 1114743010 · Geriatric Pharmacist · Menlo Park, CA
Provider details
- NPI number
- 1114743010
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Credential
- RPH, NUTRITIONIST
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
1004 Windermere Ave
Menlo Park, CA 94025-2314
Registry dates
- Enumerated
- 2024-11-25
- Last updated
- 2024-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.