Individual
MARY TOLLIVER GILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-PP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
200450144NP ANP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269862
—
OR
05
—
9651860
—
WA
Enumeration date
07/26/2006
Last updated
09/13/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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