Gregory Gill
Individual provider Active NPI Certified Registered Nurse Anesthetist · Granite Falls, MN
NPI 1174593149 · NPPES record last updated Jul 16, 2007
Key facts
- NPI
- 1174593149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R1120361 (MN)
- Practice address
- 345 10TH Ave
Granite Falls, MN 56241-1442 - Phone
- (320) 564-3111
- Fax
- (320) 564-2329
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1120361 | MN | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R1120361 | MN | Yes |
Addresses
Primary practice location
345 10TH Ave
Granite Falls, MN 56241-1442
Mailing address
345 10TH Ave
Granite Falls, MN 56241-1442
Phone (320) 564-3111
Other providers in Granite Falls, MN
- Ann E Eggebraaten
- Sierrah Ellenbecker
- Karl Eric Erickson
- June French
- James Fromm
- Granite Drug Inc
- Granite Falls Eyecare Inc.
- Granite Falls Family Dentistry
- Granite Falls Municipal Hospital and Manor
- Granite Falls Municipal Hospital and Manor
All providers in Granite Falls, MN · Certified Registered Nurse Anesthetist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.