Provider Demographics
NPI:1174973986
Name:GIL, ANNA CELIA (DNP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:CELIA
Last Name:GIL
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1306
Mailing Address - Street 2:
Mailing Address - City:BONITA
Mailing Address - State:CA
Mailing Address - Zip Code:91908-1306
Mailing Address - Country:US
Mailing Address - Phone:619-479-0822
Mailing Address - Fax:619-479-9106
Practice Address - Street 1:655 EUCLID AVE STE 405
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-2979
Practice Address - Country:US
Practice Address - Phone:619-479-0822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95004447363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95004447OtherLICENSE