Individual
KATHERINE JULIE GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2001 CRYSTAL SPRING AVE SW STE 201, ROANOKE, VA 24014-2465
(540) 853-0100
(540) 342-9308
Mailing address
2001 CRYSTAL SPRING AVE SW STE 201, ROANOKE, VA 24014-2465
(540) 853-0100
(540) 342-9308
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024176915
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000000
NP LICENSE NUMBER
VA
Enumeration date
10/22/2018
Last updated
12/21/2018
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