Provider Demographics
NPI:1386830958
Name:GILMAN, BARBARA (FNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:GILMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:362 N CLOVIS AVE # 102
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-0300
Mailing Address - Country:US
Mailing Address - Phone:559-712-3291
Mailing Address - Fax:877-301-1920
Practice Address - Street 1:362 N CLOVIS AVE # 102
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-0300
Practice Address - Country:US
Practice Address - Phone:559-712-3291
Practice Address - Fax:877-301-1920
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA164W00000X164W00000X
CA17450363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA17450OtherCA NP#
519042OtherCA RN#
CAZZZ31039ZMedicare PIN
519042OtherCA RN#