Dierdre A Gilliam in Elverta - Administrator

Dierdre A Gilliam - NPI 1205984010

Dierdre A Gilliam is a Administrator in Elverta, California. Dierdre A Gilliam practices all healthcare services and medical treatments related to Administrator. The NPI Number for Dierdre A Gilliam is 1205984010. The last update date is 2007-07-08.

Dierdre A Gilliam's current location address is 8425 Fernando Way, Elverta, California. You can contact this provider via phone number 9169915875 and fax number 5306667447. The mailing address for Dierdre A Gilliam is 8425 Fernando Way, Elverta, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Dierdre A Gilliam
Address 8425 Fernando Way, Elverta, California
Phone Number 9169915875
Fax Number 5306667447
Sole Proprietor N
Credentials MSN, RN, P

NPI Number Detail

NPI Number 1205984010
Provider Enumeration Date 2007-01-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8425 Fernando Way
City Elverta
State California (CA)
Post Code 956269542
Phone Number 9169915875
Fax Number 5306667447

Provider's Primary Taxonomy Detail

Speciality Administrator
Taxonomy 163Wa2000X
Licence No 607502
Definition:
A registered nurse who manages nursing operations and staff.

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FAQs about Dierdre A Gilliam

What is the Dierdre A Gilliam's unique identification number?

The Dierdre A Gilliam has been assigned the NPI (National Provider Identifier) Number 1205984010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Dierdre A Gilliam is physically located?

The Dierdre A Gilliam is situated at the following address: 8425 Fernando Way, Elverta, CA 956269542.

What is the area of specialization for Dierdre A Gilliam, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Dierdre A Gilliam is Administrator, and the corresponding taxonomy code that categorizes this area of expertise is 163Wa2000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1205984010 to Dierdre A Gilliam?

The Dierdre A Gilliam received its 1205984010 assignment from the Centers for Medicare & Medicaid Services on 2007-01-08.

When was the information regarding Dierdre A Gilliam, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Dierdre A Gilliam, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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