ELIZABETH BOYLE GILLAM FNP-BC NPI 1134638489

NPI Information

NPI: 1134638489
Provider Name: ELIZABETH BOYLE GILLAM, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
615 S NEW BALLAS RD
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-6000
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Elizabeth Boyle Gillam, FNP-BC is a family nurse practitioner in Saint Louis, MO. Elizabeth Boyle Gillam, FNP-BC NPI is 1134638489. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

615 S NEW BALLAS RD
SAINT LOUIS, MO
ZIP 63141-221
Phone: (314) 251-6000

The NPI 1134638489 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/29/2017 and was last updated on 3/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2017029167	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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