Individual provider · Type 1 NPI

Crystal Gilligan

Acute Care Nurse Practitioner · Dayton, OH

NPI number 1043695976 Active

Practice location

30 E Apple St, Suite 5254A
Dayton, OH 45409-2939

Mailing address

1079 Rainbow Trl
Milford, OH 45150-2010

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X2015004617 (OH)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1043695976

Crystal Gilligan's National Provider Identifier is 1043695976, issued on Jul 21, 2015. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Dayton, OH. The record was last updated on Aug 18, 2015.