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Individual

NANCY ANN GILLILAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 234-9341
Mailing address
220 PORTAGE COURT, CANAL WINCHESTER, OH 43110-2008
(614) 234-9341

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN137999
OH
363L00000X
Nurse Practitioner
Primary
NP02498
OH
363LN0005X
Critical Care Neonatal Nurse Practitioner
WAG104279395
OH

Other

Enumeration date
05/09/2008
Last updated
12/04/2018
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