IndividualActive
Penelope Gibson, PA
NPI 1821166679 · Medical Physician Assistant · Burlington, VT
Provider details
- NPI number
- 1821166679
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 0550030790 (VT)
Practice location
111 Colchester Ave
Fahc Hematology Oncology, East Pavilion Level 2
Burlington, VT 05401-1473
Phone: (802) 847-8400
Mailing address
2 Hideaway Ln
Williston, VT 05495-9426
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.