Individual
COLLEEN GILLILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
274 3RD ST, SUITE 100, BEAVER, PA 15009-2333
(724) 774-2942
(724) 770-7943
Mailing address
274 3RD ST, SUITE 100, BEAVER, PA 15009-2333
(724) 774-2942
(724) 770-7943
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP010831
PA
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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