Individual
HEIDI S GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
13231 SE 36TH ST STE 110, BELLEVUE, WA 98006-7321
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60511729
WA
363LG0600X
Gerontology Nurse Practitioner
AP60511729
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760885701
—
WA
Enumeration date
10/06/2014
Last updated
03/19/2020
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