Doctor Name: | SHERRY E GILL |
NPI Number: | 1114278884 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNS |
License Number: | CNS-00239 |
Business Practice Address: | 2559 Medical Dr. Ste C Alamogordo, NM - 88310 |
Business Phone Number: | 5754398220 |
Business Fax Number: | |
Mailing Address: | 2559 Medical Dr. Ste C, ALAMOGORDO |
State: | NM |
Postal Code: | 88310 |
Phone Number: | 5754398220 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2012 |
NPI Last Update Date: | 09/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | CNS-00239 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |