Gilliam, Audrey S
Gilliam, Audrey S is an sole proprietor health care provider with primary practice located at 9362 Grand Cordera Pkwy Ste 205 , Colorado Springs CO 80924-7014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gilliam, Audrey S can be contacted via phone (719) 719-1233.Contact Information
Primary practice address
9362 Grand Cordera Pkwy Ste 205
Colorado Springs CO 80924-7014
Phone: (719) 719-1233
Fax: (833) 428-4409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 0999108-NP | Colorado |
Profile Details
| NPI number | 1942831201 |
|---|---|
| LBN Legal business name | Gilliam, Audrey S |
| Credentials | MSN, APRN, CPNP-PC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2020 |
| Last updated | Aug 3rd, 2026 - about 3 months 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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