Individual
NIAH ANN GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGACNP-BC, APRN
Contact information
Practice address
200 E CHESTNUT ST STE 303, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3132
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9407
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3015204
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300054011
—
IN
05
—
7100759950
—
KY
Enumeration date
02/23/2021
Last updated
09/09/2024
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