Margaret Jean Gillean, RN
Individual provider Active NPI Ambulatory Care Registered Nurse · Dulce, NM
NPI 1629154562 · NPPES record last updated May 27, 2008
Key facts
- NPI
- 1629154562
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Registered Nurse 163WP2201X
- License
- 88939 (CO)
- Practice address
- 12000 Stone Lake Road
Dulce, NM 87528 - Phone
- (505) 759-3291
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88939 | CO | MD | Ambulatory Care Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 88939 | CO | Yes |
Addresses
Primary practice location
12000 Stone Lake Road
Dulce, NM 87528
Mailing address
PO Box 2296
Pagosa Springs, CO 81147-2296
Phone (505) 759-3291
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSZ196 | Other | NM | MEDICARE PART B |
| 000K3526 | Medicaid | NM |
Other providers in Dulce, NM
- Carrie Lynn Emens
- Sonja H Emerson
- Allen Michael Frey
- Ursula Michael Gabriel
- Reyna R Garcia
- Michael W Goldberg
- Yolandra Gomez
- Sharon Hope Greacen
- Steven Paul Gross
- Daniel Xethan Haire
All providers in Dulce, NM · Ambulatory Care Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2008. 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.