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Reggie Michael Gillins
Family Nurse Practitioner in Kanab, Utah
NPI 1619311974

Reggie Michael Gillins is a Family Nurse Practitioner based in Kanab, UT and is specialized in Family. Reggie Michael Gillins practices in Kanab, UT. The NPI Number for Reggie Michael Gillins is 1619311974 and holds a License No. TAP4963 (Utah).

The current practice location address for Reggie Michael Gillins is 355 N Main St, Kanab, UT and can be reached out via phone at 435-644-4100 and via fax at 435-644-3366.

Location: 355 N Main St, Kanab, UT, 84741-6113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619311974
Provider Name
Reggie Michael Gillins
Credential
Provider Entity Type
Individual
Gender
Male
Address
355 N Main St, Kanab, UT, 84741-6113
Phone Number
435-644-4100
Fax Number
435-644-3366
Provider Enumeration Date
04/17/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
809756 05 AZ
institution
Provider Business Practice Location Address Details
Address
355 N Main St
City
Kanab
State
Utah
Zip
84741-3260
Phone Number
435-644-4100
Fax Number
435-644-3366
person
Provider Business Mailing Address Details
Address
355 N Main St
City
Kanab
State
Utah
Zip
84741-3260
Phone Number
435-644-4100
Fax Number
435-644-3366
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
TAP4963 (Arizona)
Definition
Definition to come...
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