Individual
MS. ERICKA GILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8415 MYERS RD E, BONNEY LAKE, WA 98391-7043
(253) 600-7170
(253) 237-9444
Mailing address
8415 MYERS RD E, BONNEY LAKE, WA 98391-7043
(253) 600-7170
(253) 237-9444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AP60339514
WA
363L00000X
Nurse Practitioner
Primary
AP60339514
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60339514
STATE LICENSE
WA
Enumeration date
03/12/2013
Last updated
07/12/2024
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