Provider Demographics
NPI:1881314029
Name:GILPIN, ELEANOR (DNP, FNP-C)
Entity type:Individual
Prefix:
First Name:ELEANOR
Middle Name:
Last Name:GILPIN
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 CHRISTOPHER ST
Mailing Address - Street 2:
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093-2415
Mailing Address - Country:US
Mailing Address - Phone:660-441-5398
Mailing Address - Fax:
Practice Address - Street 1:601 E RUSSELL AVE STE D
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-9601
Practice Address - Country:US
Practice Address - Phone:816-333-9200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022029287363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily