Individual
MS. ANITA LORAINE GILLCHREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., P.N.P.
Contact information
Practice address
4350 OTAY MESA RD, SAN YSIDRO, CA 92173-1617
(619) 428-4476
(619) 428-6473
Mailing address
840 RUTHUPHAM AVE, SAN DIEGO, CA 92154-2354
(619) 575-0271
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
302740
CA
163WS0200X
School Registered Nurse
Primary
302740
CA
363LP0200X
Pediatric Nurse Practitioner
222814
TX
363LP0200X
Pediatric Nurse Practitioner
302740
CA
Other
Enumeration date
05/09/2007
Last updated
09/07/2007
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