Individual
ANITA GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7131-39 FRANKFORD AVENUE, PHILADELPHIA, PA 19135-1008
(215) 332-4164
(215) 332-9638
Mailing address
5501 OLD YORK RD, KORMAN-SUITE 202, PHILADELPHIA, PA 19141-3018
(215) 254-2612
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP016353
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN582361
RN LICENSE
PA
Enumeration date
08/08/2016
Last updated
05/04/2017
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