Doctor Name: | MS. ALYCE BRAUD GILMORE |
NPI Number: | 1073958237 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN037549 |
Business Practice Address: | 107 Recreation Center Drive Cameron, LA - 706311430 |
Business Phone Number: | 3377755368 |
Business Fax Number: | |
Mailing Address: | 1617 Walker Rd, SULPHUR |
State: | LA |
Postal Code: | 706658346 |
Phone Number: | 3378537772 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2013 |
NPI Last Update Date: | 05/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN037549 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |