Individual
CHRISTINE J GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1409 OLD DOMINION BLVD, BEDFORD, VA 24523-3285
(540) 586-5429
(540) 586-1481
Mailing address
PO BOX 6316, LYNCHBURG, VA 24505-6316
(434) 485-8862
(434) 485-8877
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP01797
NM
363LA2200X
Adult Health Nurse Practitioner
01797
NM
363LA2200X
Adult Health Nurse Practitioner
20240
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024184118
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64076075
—
NM
Enumeration date
06/13/2011
Last updated
08/30/2022
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