Individual
GWYN MICHELLE GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
109 CIRCLE DR, PITTSBURGH, PA 15237-2333
(412) 720-7355
Mailing address
109 CIRCLE DR, PITTSBURGH, PA 15237-2333
(412) 720-7355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP007242
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102656038
—
PA
Enumeration date
09/21/2006
Last updated
07/21/2022
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