Individual
PATRICIA MCJILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-3636
Mailing address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-3636
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
22630.1461
WY
363LG0600X
Gerontology Nurse Practitioner
22630.1461
WY
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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