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NPI 1790660850

NPI 1790660850 : CATHERINE H. GIBSON FNP-C : WEST SPRINGFIELD, MA

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General NPI Number Information
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    NPI Number           |    1790660850
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    Entity Type          |    Individual 
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    Provider Name        |    CATHERINE H. GIBSON FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/07/2025
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    Last Update Date     |    12/11/2025
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Provider Practice Location Address
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    Address Line         |    373 PARK ST 
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    City                 |    WEST SPRINGFIELD
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    State                |    MA
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    Zip                  |    01089-3304
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    Country              |    US
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    Telephone            |    413-734-1001
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8 HAMPSHIRE LN 
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    City                 |    SIMSBURY
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    State                |    CT
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    Zip                  |    06070-1224
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    RN216038
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    RN625590
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    RN2280912
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    License Number State |    MA
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Taxonomy #4
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    15591
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    License Number State |    CT
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Taxonomy #5
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    RN2280912
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    License Number State |    MA
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