Search › Wisconsin › 163WP0809X
Deonte Gibbs, MN-CNL, PMHNP-BC
NPI 1790428357 · on the registry since 2022 · sole proprietor
Practice
- Address
- 2428 N Grandview Blvd Ste 102
Waukesha, WI 53188 - Phone
- (262) 875-4521
- Organisation at this address
- Oak Medical Llc
Maple Medical Sc
Wellness West LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 11221 Synergy Dr Apt 384, Wauwatosa, WI
Registry record
- Primary taxonomy
- 163WP0809X
163WP0809X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin