Individual
SHELLY J GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
(509) 633-1753
(509) 633-1930
Mailing address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
(509) 633-1753
(509) 633-1930
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60107881
WA
Other
Enumeration date
10/12/2009
Last updated
08/06/2015
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