person
Edwin Gilliam, FP
Family Nurse Practitioner in Tucson, Arizona
NPI 1952383143

Edwin Gilliam is a Family Nurse Practitioner based in Tucson, AZ and is specialized in Family. Edwin Gilliam practices in Tucson, AZ and has the professional credentials of FP. The NPI Number for Edwin Gilliam is 1952383143 and holds a License No. RN085103 (Arizona).

The current practice location address for Edwin Gilliam is 1775 E Skyline Dr, Tucson, AZ and can be reached out via phone at 520-615-6200 and via fax at 520-615-6255. You can also correspond with Edwin Gilliam through the mailing address at 1775 E SKYLINE DR, TUCSON, AZ - 85718-1162 (mailing address contact number: 520-615-6200).

Location: 1775 E Skyline Dr, Tucson, AZ, 85718-1162
person
Provider Profile Details
NPI Number
1952383143
Provider Name
Edwin Gilliam
Credential
FP
Provider Entity Type
Individual
Gender
Male
Address
1775 E Skyline Dr, Tucson, AZ, 85718-1162
Phone Number
520-615-6200
Fax Number
520-615-6255
Provider Enumeration Date
11/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
416083 05 AZ
institution
Provider Business Practice Location Address Details
Address
1775 E Skyline Dr
City
State
Zip
85718-1162
Phone Number
520-615-6200
Fax Number
520-615-6255
person
Provider Business Mailing Address Details
Address
1775 E Skyline Dr
City
State
Zip
85718-1162
Phone Number
520-615-6200
Fax Number
520-615-6255
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN085103 (Arizona)
Definition
Definition to come...
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