Individual
LILLA WD GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
175 ROADRUNNER PKWY, LAS CRUCES, NM 88011-5235
(505) 413-3719
Mailing address
7683 SE 27TH ST #351, MERCER ISLAND, WA 98040
(505) 413-3719
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
78977
NM
363LG0600X
Gerontology Nurse Practitioner
NP-05114
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2182249
—
OH
Enumeration date
04/03/2007
Last updated
05/23/2024
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