Provider Demographics
NPI:1518161454
Name:GILFILLAN, ANN CURRIE (RN)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:CURRIE
Last Name:GILFILLAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6105 WADE ST
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-9654
Mailing Address - Country:US
Mailing Address - Phone:352-314-9885
Mailing Address - Fax:
Practice Address - Street 1:6105 WADE ST
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-9654
Practice Address - Country:US
Practice Address - Phone:352-314-9885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 2189782163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse