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Individual
NICOLE GELLATLY
Active
Individual
NICOLE GELLATLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209029412
IL
363LF0000X
Family Nurse Practitioner
A103901
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831427467
WELLMARK
IA
05
—
1831427467
—
IA
Enumeration date
11/19/2009
Last updated
09/02/2026
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