Individual
VIQUI HAYDEE GILDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP RN
Contact information
Practice address
118 RITENOUR BUILDING, THE PENNSYLVANIA STATE UNIVERSITY, UNIVERSITY PARK, PA 16802
(814) 863-8448
Mailing address
206 FAIRFIELD DR, STATE COLLEGE, PA 16801-8244
(814) 466-8775
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN300142L
PA
363LW0102X
Women's Health Nurse Practitioner
Primary
SP003148G
PA
Other
Enumeration date
09/01/2006
Last updated
09/11/2025
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