Healthcare Provider Details

I. General information

NPI: 1881314029
Provider Name (Legal Business Name): ELEANOR GILPIN DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 08/29/2022
Certification Date: 08/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E RUSSELL AVE STE D
WARRENSBURG MO
64093-9601
US

IV. Provider business mailing address

510 CHRISTOPHER ST
WARRENSBURG MO
64093-2415
US

V. Phone/Fax

Practice location:
  • Phone: 816-333-9200
  • Fax:
Mailing address:
  • Phone: 660-441-5398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2022029287
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: