Provider Demographics
NPI:1376600544
Name:GILPIN, PATRICIA (APRN,BC)
Entity Type:Individual
Prefix:PROF
First Name:PATRICIA
Middle Name:
Last Name:GILPIN
Suffix:
Gender:F
Credentials:APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 SILVER LAKE RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1225
Mailing Address - Country:US
Mailing Address - Phone:302-378-5775
Mailing Address - Fax:302-378-5760
Practice Address - Street 1:122 SILVER LAKE RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1225
Practice Address - Country:US
Practice Address - Phone:302-378-5775
Practice Address - Fax:302-378-5760
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000325363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily