Individual
STEVIE GILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1606 E BOBWHITE LN, POST FALLS, ID 83854-4946
(253) 330-1150
Mailing address
1606 E BOBWHITE LN, POST FALLS, ID 83854-4946
(253) 330-1150
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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