Individual
ERIC GILLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1441 WILKINS CIR, CASPER, WY 82601-1337
(307) 233-2700
(307) 472-2883
Mailing address
1441 WILKINS CIR, CASPER, WY 82601-1337
(307) 233-2700
(307) 472-2883
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
40289
WY
363LF0000X
Family Nurse Practitioner
Primary
50974
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
WY
Other
Enumeration date
07/26/2021
Last updated
12/11/2024
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