Gillis-Bragg, Patricia

Gillis-Bragg, Patricia is an individual health care provider with primary practice located at 100 E Carroll St Prmc Inpatient Services, Salisbury MD 21801-5422. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gillis-Bragg, Patricia can be contacted via phone (410) 543-7536.

Contact Information

Primary practice address
100 E Carroll St Prmc Inpatient Services Salisbury MD 21801-5422
Phone: (410) 543-7536
Fax: (410) 543-7272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R075086 Maryland

Profile Details

NPI number 1164421921
LBN Legal business name Gillis-Bragg, Patricia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Feb 24th, 2017 - about 9 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 1164421921 NPPES
Maryland Other 1184832040 GROUP NPI
Maryland MEDICAID 642802900 GROUP NPI

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