Individual provider · Type 1 NPI

Lisa Gilmore, CPNP-AC

Critical Care Pediatric Nurse Practitioner · New York, NY

NPI number 1285754259 Active

Practice location

3959 Broadway
New York, NY 10032-1559

Mailing address

1785 215th St, Apt 17A
Bayside, NY 11360-1727

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner Primary 363LP0222XF380564 (NY)

Critical Care Pediatric Nurse Practitioner: Definition to come...

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About NPI 1285754259

Lisa Gilmore, CPNP-AC's National Provider Identifier is 1285754259, issued on Mar 30, 2007. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.