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Individual

VICTORIA LOUISE GILPIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
ONE HOSPITAL DRIVE, COLUMBIA, MO 65205-7687
(573) 999-6117
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 999-6117

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN093448
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
132292
BLUE SHIELD/BLUE CHOICE
MO
05
425205606
MO
01
4287232401
KANSAS MEDICAID
KS
01
448349
HEALTHLINK
MO
Enumeration date
05/15/2006
Last updated
06/05/2013
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