Individual
CHRISTY DIANE GILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
250 CULLY DR, KERRVILLE, TX 78028-5950
(830) 258-6300
(830) 515-5485
Mailing address
250 CULLY DR, KERRVILLE, TX 78028-5950
(830) 258-6300
(830) 515-5485
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0000000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405694701
—
TX
Enumeration date
11/01/2019
Last updated
03/02/2020
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