Individual provider · Type 1 NPI
Elizabeth Boyle Gillam, FNP-BC
Family Nurse Practitioner · St. Louis, MO
NPI number
1134638489
Active
Practice location
615 S New Ballas Rd
St. Louis, MO 63141-8221
Mailing address
5522 Delor St
St. Louis, MO 63109-2803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2017029167 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1134638489
Elizabeth Boyle Gillam, FNP-BC's National Provider Identifier is 1134638489, issued on Sep 29, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 27, 2019.