Provider Demographics
NPI:1366657124
Name:GILDER, MARCELEE RIPLEY (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:MARCELEE
Middle Name:RIPLEY
Last Name:GILDER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 PEPPERELL PKWY
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-5452
Mailing Address - Country:US
Mailing Address - Phone:334-528-2380
Mailing Address - Fax:334-741-8278
Practice Address - Street 1:1910 WAVERLY PKWY
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-4737
Practice Address - Country:US
Practice Address - Phone:334-528-2380
Practice Address - Fax:334-741-8278
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-022907163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-38248OtherBLUE CROSS PROVIDER NUMBE