Individual
KATHERINE A. GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
200 MEDICAL PKWY, LAKEWAY, TX 78738-1791
(512) 654-8677
(512) 654-8676
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP1012012
FL
363L00000X
Nurse Practitioner
SP008226
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP125325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002405900
—
FL
Enumeration date
10/24/2006
Last updated
10/27/2016
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