Gillis, Sara N

Gillis, Sara N is an individual health care provider with primary practice located at 21 Highland Ave Se Ste 100, Roanoke VA 24013-2218. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gillis, Sara N can be contacted via phone (540) 344-9213.

Contact Information

Primary practice address
21 Highland Ave Se Ste 100 Roanoke VA 24013-2218
Phone: (540) 344-9213
Fax: (540) 345-7559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0001137848 Virginia

Profile Details

NPI number 1508860289
LBN Legal business name Gillis, Sara N
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 8th, 2007 - about 17 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508860289 NPPES
Virginia Other 54088505612 JOHN DEERE
Virginia Other 5657671 JOHN DEERE

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