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Individual
LEA ANNE GILLEY
Active
Individual
LEA ANNE GILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
254054
TX
363LF0000X
Family Nurse Practitioner
Primary
AP112010
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167244604
—
TX
05
—
167244605
—
TX
01
—
8598NZ
BCBSTX
TX
01
—
883N92
BCBS
TX
Enumeration date
08/04/2006
Last updated
04/18/2019
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