Individual provider · Type 1 NPI
Gary Paul Quillen, ANP
Gerontology Nurse Practitioner · Town And Country, MO
NPI number
1861895013
Active
Practice location
1068 S Woods Mill Rd Ste 220
Town And Country, MO 63017-8333
Fax (314) 394-1377
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AG1014022 (MO) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | AG1014022 (MO) |
Gerontology Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1861895013
Gary Paul Quillen, ANP's National Provider Identifier is 1861895013, issued on Oct 2, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Town And Country, MO. The record was last updated on Sep 24, 2019.