Individual provider · NPI-1

Margaret Ellen Gilmon, Nurse Practitioner

Nurse Practitioner, Women's Health · Ketchikan, AK

NPI number1689795171
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1689795171
Entity type
Individual (NPI-1)
Name
Margaret Ellen Gilmon
Credential
Nurse Practitioner
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 2, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LW0102X Nurse Practitioner, Women's Health402AKYes

Practice location

3054 5th Ave
Ketchikan, AK 99901-5773

Phone 907-225-4350

Mailing address

944 Lincoln St
Ketchikan, AK 99901-5754

Phone 907-225-5067

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