WILLIAM G GIBSON IV FNP-C
NPI 1003218876
Nurse Practitioner - Family in Rush City, MN

Q: What is William Gibson's NPI number?

The NPI number for William Gibson is 1003218876. It was assigned to this individual provider in the NPPES registry on September 23, 2014.

Q: What is William Gibson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for William Gibson was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 23, 2014

460 S ELIOT AVE, RUSH CITY, MN 55069(320) 358-0987(320) 358-3422 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2023, Jul 11, 2023 (2 updates tracked since 2023).

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About William G Gibson Iv Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM G GIBSON IV FNP-C (NPI 1003218876) is an individual family provider in Rush City, Minnesota, licensed in Minnesota (10136) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1003218876

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameWILLIAM G GIBSON IVCredential: FNP-C

Location Address460 S ELIOT AVERush City, MN 55069-6505

Mailing AddressPo Box 370Rush City, MN 55069-0370 · (320) 358-0987 · Fax (320) 358-3422

Phone(320) 358-0987

Fax(320) 358-3422

Sole ProprietorNo

Enumeration DateSeptember 23, 2014

Last NPPES UpdateAugust 22, 20232 updates tracked since enumeration

NPPES CertifiedAugust 22, 2023

✔ NPI 1003218876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MN · 10136✔ Licensed in OH · COA.17029-NP

Also ListedRegistered NurseTaxonomy 163W00000X · License 2512775 (MN)

460 S ELIOT AVE, Rush City, MN 55069

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DELORES M KAISERLIK RN

Registered Nurse