Individual
GINA DILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3850 S NATIONAL AVE STE 600, SPRINGFIELD, MO 65807-5230
(417) 882-4880
(417) 882-7843
Mailing address
98 STILLWATER RD, CONWAY, MO 65632-6257
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2020016761
MO
363LF0000X
Family Nurse Practitioner
2020016761
MO
Other
Enumeration date
04/29/2020
Last updated
11/22/2023
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