Georgitte Gilman
Individual provider Active NPI General Practice Registered Nurse · Eagle Butte, SD
NPI 1780201624 · NPPES record last updated Jun 26, 2020
Key facts
- NPI
- 1780201624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 230419 (SC)
- Practice address
- 24276 166TH Street
Eagle Butte, SD 57625 - Phone
- (605) 964-7724
- NPI assigned
- Jun 26, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230419 | SC | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 230419 | SC | Yes |
Addresses
Primary practice location
24276 166TH Street
Eagle Butte, SD 57625
Mailing address
24276 166TH Street
Eagle Butte, SD 57625
Other providers in Eagle Butte, SD
- Fort Meade Vamc
- Cynthia Francois
- Susan Ashley Fuller
- Ruth Ann Gesinger
- Lynn Gillis
- Daniel Clayton Gioia
- Deana Gipp
- Marie E Gross
- Christopher Allen Guggolz
- Arlette Darshan Hager
All providers in Eagle Butte, SD · General Practice Registered Nurse in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2020. 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.