Individual
HEATHER GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1400 E BOULDER ST STE 2508, COLORADO SPRINGS, CO 80909-5533
(719) 365-6999
Mailing address
12640 S 35TH PL, PHOENIX, AZ 85044-3519
(602) 478-9637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1647800
CO
367500000X
Certified Registered Nurse Anesthetist
APN.0993130-CRNA
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0341
AZ
Other
Enumeration date
07/12/2006
Last updated
11/01/2024
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