CARLEY RENEE GIBSON NPI 1194602854

NPI Information

  • NPI: 1194602854
  • Provider Name: CARLEY RENEE GIBSON
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 296 CHURCH ST
    PETROLIA, PA
    ZIP 16050
  • Phone: (724) 756-2940

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NPI Details

Carley Renee Gibson is a family nurse practitioner in Petrolia, PA with 1 years of experience. Carley Renee Gibson NPI is 1194602854. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

296 CHURCH ST
PETROLIA, PA
ZIP 16050-006
Phone: (724) 756-2940
Fax: (724) 756-8515

The NPI 1194602854 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2025 and was last updated on 12/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilySP033871PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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