Individual
MR. JUSTIN GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2322 141ST ST NW, MARYSVILLE, WA 98271-8163
(360) 441-7489
Mailing address
2322 141ST ST NW, MARYSVILLE, WA 98271-8163
(360) 441-7489
(425) 984-7417
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60570006
WA
363LF0000X
Family Nurse Practitioner
AP60570006
WA
Other
Enumeration date
05/29/2015
Last updated
11/27/2023
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