SHELLY J GILLILAND ARNP - NPI 1356676126 - Nurse Practitioner in Grand Coulee, WA

Q: What is Shelly Gilliland's NPI number?

The NPI number for Shelly Gilliland is 1356676126. It was assigned to this individual provider in the NPPES registry on October 12, 2009.

Q: What is Shelly Gilliland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Gilliland was last updated on August 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Shelly J Gilliland Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY J GILLILAND ARNP (NPI 1356676126) is an individual family provider in Grand Coulee, Washington, licensed in Washington (AP60107881) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1356676126

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHELLY J GILLILANDCredential: ARNP

Location Address411 FORTUYN RDGrand Coulee, WA 99133-8718

Mailing Address411 Fortuyn RdGrand Coulee, WA 99133-8718 · (509) 633-1753 · Fax (509) 633-1930

Phone(509) 633-1753

Fax(509) 633-1930

Sole ProprietorNo

Enumeration DateOctober 12, 2009

Last NPPES UpdateAugust 6, 2015

✔ NPI 1356676126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WA · AP60107881

411 FORTUYN RD, Grand Coulee, WA 99133

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