CAROLYN ANN GILLEY
NPI 1043749617
Clinic/Center - Primary Care in Random Lake, WI
About Carolyn Ann Gilley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLYN ANN GILLEY (NPI 1043749617) is an individual primary care provider in Random Lake, Wisconsin and active in the NPI registry since June 2017.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carolyn Gilley's NPI number?
The NPI number for Carolyn Gilley is 1043749617. It was assigned to this individual provider in the NPPES registry on June 7, 2017.
Where is Carolyn Gilley located?
Carolyn Gilley practices at 220 Carroll St, Random Lake, WI 53075. The listed phone number is (800) 490-3146.
What is Carolyn Gilley's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
When was this NPI record last updated?
The NPPES record for Carolyn Gilley was last updated on June 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carolyn Ann Gilley · NPI 1043749617
Primary Care provider in Random Lake, Wisconsin. Individual provider, active in the CMS NPPES registry since June 7, 2017.
## Identity
- **NPI:** 1043749617 (Entity type: Individual)
- **Enumerated:** June 7, 2017
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 220 CARROLL ST, Random Lake, WI 53075-1795
- **Phone:** (800) 490-3146
## Record status
- **NPPES last updated:** June 7, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1043749617) · Data from the CMS NPPES public registry.