Individual
MS. MARY ELIZABETH GILBERT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
1220 WARREN AVE, RICHMOND, VA 23227-3740
(804) 269-4031
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024148885
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000000
—
SC
Enumeration date
06/06/2006
Last updated
07/09/2007
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