Healthcare Provider Details

I. General information

NPI: 1336060144
Provider Name (Legal Business Name): MARIA GUADALUPE GIL RN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25014 TROMBLEY ST
HARRISON TOWNSHIP MI
48045-6415
US

IV. Provider business mailing address

25014 TROMBLEY ST
HARRISON TOWNSHIP MI
48045-6415
US

V. Phone/Fax

Practice location:
  • Phone: 586-265-9664
  • Fax:
Mailing address:
  • Phone:
  • Fax: 508-360-4156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704427261
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: