Individual
DIANE LEE GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
15840 MEDICAL DR S, SUITE B, FINDLAY, OH 45840-7833
(419) 425-3780
Mailing address
1733 WESTERN AVE, STE A, FINDLAY, OH 45840-1347
(419) 423-2754
(419) 423-7357
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.12553-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053936
—
OH
Enumeration date
08/24/2011
Last updated
04/15/2016
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