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NPI Code Detail

MEDICARE: WENDY MCNABB GILL ANP-C

MEDICARE: WENDY MCNABB GILL ANP-C
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
1363LA2100XAcute Care Nurse PractitionerAP04197LA
2363LA2200XAdult Health Nurse PractitionerAP04197LA

General Provider Information

NPI Number : 1821272709
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY MCNABB GILL ANP-C
Provider Business Mailing Address
First Line : PO BOX 749495
Second Line :
City : ATLANTA
State : GA
Zip : 30374-9495
Country : US
Telephone Number : 239-432-8331
Fax Number : 813-321-1296
Provider Business Practice Location Address
First Line : 8585 PICARDY AVE STE 110
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3748
Country : US
Telephone Number : 225-767-0822
Fax Number : 225-769-5424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2007
Last Update Date : 01/04/2023

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Directions to “ WENDY MCNABB GILL ANP-C” Practice Location

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