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Individual

MRS. NICOLE GILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-6009
(231) 876-6830
Mailing address
1498 PACIFIC AVE STE 400, TACOMA, WA 98402-4208
(855) 768-6363
(253) 682-1714

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704303193
MI
363LP2300X
Primary Care Nurse Practitioner
049613455
GA
363LP2300X
Primary Care Nurse Practitioner
RN124898
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00000019F
GA
Enumeration date
01/11/2007
Last updated
12/19/2025
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