ELIZABETH BOYLE GILLAM FNP-BC
NPI 1134638489
Nurse Practitioner - Family in Saint Louis, MO
About Elizabeth Boyle Gillam Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH BOYLE GILLAM FNP-BC (NPI 1134638489) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2017029167) and active in the NPI registry since September 2017.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
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 Elizabeth Gillam's NPI number?
The NPI number for Elizabeth Gillam is 1134638489. It was assigned to this individual provider in the NPPES registry on September 29, 2017. The provider is also known as Elizabeth Marguerite Boyle Fnp-Bc.
Where is Elizabeth Gillam located?
Elizabeth Gillam practices at 615 S New Ballas Rd, Saint Louis, MO 63141. The listed phone number is (314) 251-6000.
What is Elizabeth Gillam's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Elizabeth Gillam was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Elizabeth Boyle Gillam, FNP-BC · NPI 1134638489
Family physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since September 29, 2017.
## Identity
- **NPI:** 1134638489 (Entity type: Individual)
- **Enumerated:** September 29, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2017029167 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 615 S NEW BALLAS RD, Saint Louis, MO 63141-8221
- **Phone:** (314) 251-6000
## Record status
- **NPPES last updated:** March 27, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1134638489) · Data from the CMS NPPES public registry.