Individual
BRANDON S GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP PMHNP
Contact information
Practice address
770 TANGLEFOOT LN, BETTENDORF, IA 52722-1608
(563) 241-7443
Mailing address
3224 W LOMBARD ST, DAVENPORT, IA 52804-2812
(563) 528-2069
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G182333
IA
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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