Gloria E Willoughby in Shenandoah - Family
Gloria E Willoughby - NPI 1831143627
Gloria E Willoughby is a Family in Shenandoah, Texas. Gloria E Willoughby practices all healthcare services and medical treatments related to Family. The NPI Number for Gloria E Willoughby is 1831143627. The last update date is 2016-08-26.
Gloria E Willoughby's current location address is 150 Pine Forest Dr, Shenandoah, Texas. You can contact this provider via phone number 2817092555 and fax number 2814409915. The mailing address for Gloria E Willoughby is 150 Pine Forest Dr, Shenandoah, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gloria E Willoughby |
|---|---|
| Address | 150 Pine Forest Dr, Shenandoah, Texas |
| Phone Number | 2817092555 |
| Fax Number | 2814409915 |
| Sole Proprietor | N |
| Credentials | NURSE PRAC |
NPI Number Detail
| NPI Number | 1831143627 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2016-08-26 |
Provider Mailing Address Detail
| Address | 150 Pine Forest Dr |
|---|---|
| City | Shenandoah |
| State | Texas (TX) |
| Post Code | 773845302 |
| Phone Number | 2817092555 |
| Fax Number | 2814409915 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 651038 |
|
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 |
|---|---|---|---|
| 152611302 | TX | -- | |
| 187619502 | TX | -- | |
| 187619501 | TX | -- | |
| 152611301 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gloria E Willoughby by the Centers for Medicare & Medicaid Services (CMS)?
The Gloria E Willoughby has been assigned the NPI (National Provider Identifier) 1831143627. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Gloria E Willoughby's facilities are geographically located?
The facilities of Gloria E Willoughby are physically situated at the following location: 150 Pine Forest Dr, Shenandoah, TX, 773845302.
What is Gloria E Willoughby's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gloria E Willoughby is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1831143627 to Gloria E Willoughby?
The Centers for Medicare & Medicaid Services assigned the 1831143627 to Gloria E Willoughby on 2006-05-19.
When was the information regarding Gloria E Willoughby most recently updated?
The details pertaining to the Gloria E Willoughby, including its address, specialty, and other relevant information, were last refreshed on 2016-08-26.