Gill, Angela Clark
Gill, Angela Clark is an sole proprietor health care provider with primary practice located at 161 Christian Dr , Rayville LA 71269-3658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gill, Angela Clark can be contacted via phone (318) 661-3030.Contact Information
Primary practice address
161 Christian Dr
Rayville LA 71269-3658
Phone: (318) 661-3030
Fax: (318) 661-3032
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP06862 | Louisiana |
Profile Details
NPI number | 1821352535 |
---|---|
LBN Legal business name | Gill, Angela Clark |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 27th, 2012 |
Last updated | Apr 4th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821352535 | NPPES |
Louisiana | MEDICAID | 2314416 |
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