Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Teresa Gibson, ACNPC-AG

Individual provider Trauma Surgery Physician · NPI 1144916297

Mary Teresa Gibson, ACNPC-AG is a Nurse Practitioner in Goodyear, Arizona. Qualified in 2023, 3 years ago. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2023

Practice location Address checks out

13677 W McDowell Rd
Goodyear, AZ 85395-2635
Phone: (623) 853-3832
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence 290448 (AZ)

Record details

NPI number1144916297
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedApril 12, 2023
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Goodyear