| Doctor Name: | MRS. ANGELA MARIE GILFILLAN |
| NPI Number: | 1790917854 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 1853 |
| Business Practice Address: | 8248 S 96th St La Vista, NE - 681283126 |
| Business Phone Number: | 4027179500 |
| Business Fax Number: | 4027179501 |
| Mailing Address: | Po Box 642117, OMAHA |
| State: | NE |
| Postal Code: | 681648117 |
| Phone Number: | 4023986254 |
| Fax Number: | 4028298513 |
| NPI Enumeration Date: | 08/21/2009 |
| NPI Last Update Date: | 01/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1853 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |