Gill, Angela Clark

Gill, Angela Clark is an sole proprietor health care provider with primary practice located at 161 Christian Dr , Rayville LA 71269-3658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gill, Angela Clark can be contacted via phone (318) 661-3030.

Contact Information

Primary practice address
161 Christian Dr Rayville LA 71269-3658
Phone: (318) 661-3030
Fax: (318) 661-3032
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP06862 Louisiana

Profile Details

NPI number 1821352535
LBN Legal business name Gill, Angela Clark
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2012
Last updated Apr 4th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821352535 NPPES
Louisiana MEDICAID 2314416

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