Individual
MS. EVANGELA BERNICE GILSTRAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
419 CLARK AVE, WEBSTER GROVES, MO 63119-1818
(314) 805-3050
Mailing address
419 CLARK AVE, WEBSTER GROVES, MO 63119-1818
(314) 362-4819
(314) 362-7086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
068132
MO
363LF0000X
Family Nurse Practitioner
209004459
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425738119
—
MO
05
—
ENROLLED
—
IL
Enumeration date
07/14/2006
Last updated
08/20/2021
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