Provider Demographics
NPI:1932666492
Name:GILLYARD, ARABION BREON (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:ARABION
Middle Name:BREON
Last Name:GILLYARD
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26511 SANDY ARBOR LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2372
Mailing Address - Country:US
Mailing Address - Phone:346-812-3710
Mailing Address - Fax:
Practice Address - Street 1:26511 SANDY ARBOR LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2372
Practice Address - Country:US
Practice Address - Phone:346-812-3710
Practice Address - Fax:832-913-3335
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-20
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX842592163W00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty