Gillum, Judith L.
Gillum, Judith L. is an individual health care provider with primary practice located at 4100 High Resort Blvd Se , Rio Rancho NM 87124-5901. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gillum, Judith L. can be contacted via phone (505) 462-8517.Contact Information
Primary practice address
4100 High Resort Blvd Se
Rio Rancho NM 87124-5901
Phone: (505) 462-8517
Fax: (505) 462-8510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | CNP00153 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | R14939 | New Mexico |
Profile Details
| NPI number | 1447359138 |
|---|---|
| LBN Legal business name | Gillum, Judith L. |
| Credentials | R.N., C.N.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Mar 21st, 2018 - about 6 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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