Individual
MS. COLLEEN R GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST, SAINT LOUIS, MO 63110-1003
(314) 362-1700
(314) 362-9878
Mailing address
660 S EUCLID AVE, CB 8058, SAINT LOUIS, MO 63110-1010
(314) 362-1700
(314) 362-9878
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2009038222
MO
363L00000X
Nurse Practitioner
209017441
IL
363LA2200X
Adult Health Nurse Practitioner
2009038222
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420092362
—
MO
Enumeration date
02/09/2010
Last updated
07/05/2022
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