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Individual
MS. THERESA LYNN GILLILAND
Active
Individual
MS. THERESA LYNN GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C FNP PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP-01630
NM
363LF0000X
Family Nurse Practitioner
11076
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0995151-NP
CO
Other
Enumeration date
11/13/2006
Last updated
02/16/2021
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