BATAVIA ANTONETTE GILLIS RN
NPI 1023613015
Registered Nurse - Home Health in Waldorf, MD
Active since November 30, 2020
About Batavia Antonette Gillis Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BATAVIA ANTONETTE GILLIS RN (NPI 1023613015) is an individual home health provider in Waldorf, Maryland, licensed in Maryland (R167761) and active in the NPI registry since November 2020.
NPPES Registry Identity
NPI1023613015
Entity TypeIndividualFemale
Primary Taxonomy163WH0200X
Provider Legal NameBATAVIA ANTONETTE GILLISCredential: RN
Location Address14765 GALLANT LNWaldorf, MD 20601-5516
Mailing Address14765 Gallant LnWaldorf, MD 20601-5516 · (240) 784-0506
Phone(240) 784-0506
Sole ProprietorYes
Enumeration DateNovember 30, 2020
Last NPPES UpdateDecember 26, 20202 updates tracked since enumeration
NPPES CertifiedDecember 26, 2020
✔ NPI 1023613015 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
License✔ Licensed in MD · R167761
14765 GALLANT LN, Waldorf, MD 20601
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Home Health
14765 GALLANT LN
WALDORF, MD 20601
WALDORF, MD 20601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023613015, enumerated as an "individual" on November 30, 2020.
The provider is located at 14765 GALLANT LN WALDORF, MD 20601 and the phone number is (240) 784-0506.
Registered Nurse with taxonomy code 163WH0200X and a focus in Home Health.
