Evangela Bernice Gilstrap in Webster Groves - Family
Evangela Bernice Gilstrap - NPI 1295751592
Evangela Bernice Gilstrap is a Family in Webster Groves, Missouri. Evangela Bernice Gilstrap practices all healthcare services and medical treatments related to Family. The NPI Number for Evangela Bernice Gilstrap is 1295751592. The last update date is 2021-08-20.
Evangela Bernice Gilstrap's current location address is 419 Clark Ave, Webster Groves, Missouri. You can contact this provider via phone number 3148053050. The mailing address for Evangela Bernice Gilstrap is 419 Clark Ave, Webster Groves, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evangela Bernice Gilstrap |
|---|---|
| Address | 419 Clark Ave, Webster Groves, Missouri |
| Phone Number | 3148053050 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1295751592 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2021-08-20 |
Provider Mailing Address Detail
| Address | 419 Clark Ave |
|---|---|
| City | Webster Groves |
| State | Missouri (MO) |
| Post Code | 631191818 |
| Phone Number | 3148053050 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 209004459 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 425738119 | MO | -- | |
| ENROLLED | IL | -- |
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What is the Evangela Bernice Gilstrap's unique identification number?
The Evangela Bernice Gilstrap has been assigned the NPI (National Provider Identifier) Number 1295751592 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Evangela Bernice Gilstrap?
The Evangela Bernice Gilstrap is physically situated at 419 Clark Ave, in the city of Webster Groves, state of MO, with the postal code 631191818.
What is Evangela Bernice Gilstrap's specialized field of practice, and what is the corresponding taxonomy classification code?
The Evangela Bernice Gilstrap's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did Evangela Bernice Gilstrap receive its 1295751592 assignment from the Centers for Medicare & Medicaid Services?
The Evangela Bernice Gilstrap was assigned its 1295751592 on 2006-07-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Evangela Bernice Gilstrap most recently updated or revised?
The details related to Evangela Bernice Gilstrap, including its address, specialty, and other relevant information, were last updated or revised on 2021-08-20.
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