IndividualActive
Carol Gibson, NONE
NPI 1942150164 · Religious Nonmedical Nursing Personnel · Chubbuck, ID
Provider details
- NPI number
- 1942150164
- Entity type
- Individual
- Primary specialty
- Religious Nonmedical Nursing PersonnelNursing Service Related Providers
- Credential
- NONE
- Sex
- Female
- Sole proprietor
- Yes
Practice location
4650 Hawthorne Rd Ste 3b
Chubbuck, ID 83202-2376
Phone: (208) 252-5621
Fax: (208) 252-5621
Mailing address
4650 Hawthorne Rd Ste 3b
Chubbuck, ID 83202-2376
Registry dates
- Enumerated
- 2026-01-28
- Last updated
- 2026-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.