Individual
MS. VIRGINIA GILLELAND
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.N.P
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 224-1904
Mailing address
2318 MARTIN LN SW, ROANOKE, VA 24015-3812
(540) 354-1954
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024144140
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36
NP
VA
Enumeration date
04/13/2006
Last updated
07/08/2007
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