Individual
MR. LEE ELLIOT GILMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN-AGNP, NP-C, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R209821
MD
207QA0401X
Addiction Medicine (Family Medicine) Physician
XG4336702
MD
363LA2200X
Adult Health Nurse Practitioner
R209821
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
R209821
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126407960
—
MD
01
—
R209821
MARYLAND BOARD OF NURSING LICENSE
MD
Enumeration date
04/21/2017
Last updated
03/07/2023
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