HEATHER GIBSON NPI 1629431242

NPI Information

  • NPI: 1629431242
  • Provider Name: HEATHER GIBSON
  • Classification: Technician, Other - 247200000X
  • Entity Type: Individual
  • Address: 71169 OLD 205
    EDWARDSBURG, MI
    ZIP 49112
  • Phone: (574) 304-5762

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NPI Details

Heather Gibson is a technician other in Edwardsburg, MI. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. Heather Gibson NPI is 1629431242. 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:

71169 OLD 205
EDWARDSBURG, MI
ZIP 49112-796
Phone: (574) 304-5762

The enumeration date for this NPI number is 3/31/2016 and was last updated on 3/31/2016.

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
1247200000XTechnician, OtherG125302585744MICHIGANYes

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

NPI Synchronization or Removal

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