Individual provider · Type 1 NPI

Judith L. Gillum, R.N., C.N.P.

Nurse Practitioner · Rio Rancho, NM

NPI number 1447359138 Active

Practice location

4100 High Resort Blvd SE
Rio Rancho, NM 87124-5901

Call (505) 462-8517 Map

Fax (505) 462-8510

Mailing address

PO Box 26666, Phs Provider Enrollment
Albuquerque, NM 87125-6666

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XCNP00153 (NM)
Adult Health Nurse Practitioner 363LA2200XR14939 (NM)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1447359138

Judith L. Gillum, R.N., C.N.P.'s National Provider Identifier is 1447359138, issued on Sep 21, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rio Rancho, NM. The record was last updated on Mar 21, 2018.