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NPI Code Detail

MEDICARE: MARGARET ELLEN GILMON NURSE PRACTITIONER

MEDICARE:   MARGARET ELLEN GILMON  NURSE PRACTITIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner402AK

General Provider Information

NPI Number : 1689795171
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET ELLEN GILMON NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 944 LINCOLN ST
Second Line :
City : KETCHIKAN
State : AK
Zip : 99901-5754
Country : US
Telephone Number : 907-225-5067
Fax Number :
Provider Business Practice Location Address
First Line : 3054 5TH AVE
Second Line :
City : KETCHIKAN
State : AK
Zip : 99901-5773
Country : US
Telephone Number : 907-225-4350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 07/08/2007

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Directions to “ MARGARET ELLEN GILMON NURSE PRACTITIONER” Practice Location

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