DEONTE ALONZO GIBBS MN-CNL PMHNP-BC NPI 1790428357

NPI Information

NPI: 1790428357
Provider Name: DEONTE ALONZO GIBBS, MN-CNL, PMHNP-BC
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
2428 N GRANDVIEW BLVD STE 102
WAUKESHA, WI
ZIP 53188
Phone: (262) 875-4521
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Deonte Alonzo Gibbs, MN-CNL, PMHNP-BC is a psychiatric/mental health and adult registered nurse in Waukesha, WI. Deonte Alonzo Gibbs, MN-CNL, PMHNP-BC NPI is 1790428357. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2428 N GRANDVIEW BLVD STE 102
WAUKESHA, WI
ZIP 53188-906
Phone: (262) 875-4521

The enumeration date for this NPI number is 4/20/2022 and was last updated on 4/20/2022.

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
1	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	239054-30	WISCONSIN	Yes

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: 4/28/2024

NPI Synchronization or Removal

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