VICTORIA MCGILLIS (NPI# 1689052698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689052698 |
Entity Type | Individual |
Full Name | VICTORIA MCGILLIS |
Credential | FNP-BC |
Practice Address |
325 E M 55 Ste B Tawas City MI 48763 |
Mailing Address |
Po Box 779 Tawas City MI 48764-0779 |
Practice Telephone | 9893626426 |
Practice Fax Number | 9893626527 |
Mailing Telephone | 9893629411 |
Mailing Fax Number | 9893629925 |
Enumeration Date | 2015-05-11 |
Last Update Date | 2019-10-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704244691 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | LICENSE | 4704244691 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
325 E M 55 Ste B, Tawas City, MI 48763 | 9893626426 | 9893626527 |
Street Address |
325 E M 55 STE B |
City | TAWAS CITY |
State | MI |
Zip Code | 48763 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720447006 | Josie Short | Student in an Organized Health Care Education/Training Program | 127 Wheeler Street, Tawas, MI 48763 | 2016-02-16 |
1942500160 | Jeffrey M Chadwick O D P C | Optometrist | 325 M-55, Tawas City, MI 48763 | 2010-10-22 |
1659536068 | Josip Petani | Pediatrics | 101 W. Lake St, Tawas City, MI 48763 | 2008-07-24 |
1790963312 | Phillip A Wienczewski Pllc | Dentist | 671 E M 55, Tawas City, MI 48763 | 2008-02-06 |
1902090038 | Life Family Chiropractic LLC | Chiropractor | 196 M 55, Life Family Chiropractic, Tawas City, MI 48763 | 2007-08-31 |
1467586446 | Thomas Aldrich Dawson | Dentist | 508 Hemlock Avenue, Tawas City, MI 48763 | 2007-03-14 |
1497819056 | Phillip Allen Wienczewski | Dentist | 671 E M55, Tawas City, MI 48763 | 2006-12-20 |
1821163106 | Charles Edward Kudwa | Dentist | 510 West Lake St, Tawas City, MI 48763 | 2006-11-21 |
1720017312 | Jeffrey Michael Chadwick | Optometrist | 325 M-55 East, Tawas City, MI 48763 | 2006-07-03 |
1528094489 | Tawas Foot Clinic P.C. | Podiatrist | 166 M 55, Tawas City, MI 48763 | 2006-06-23 |
Find all providers in zip 48763 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750980314 | Greg Malewska | Nurse Practitioner | 420 W Lake St, Tawas City, MI 48763-8309 | 2020-10-23 |
1285153023 | Erica Ruth Kalbfleisch | Nurse Practitioner | 700 German St, Tawas City, MI 48763-9349 | 2017-09-13 |
1265788749 | Sarah D Woods | Nurse Practitioner | 295 Maple St, Suite 202, Tawas City, MI 48763-9352 | 2012-08-02 |
1396997045 | St Joseph Health System Inc | Nurse Practitioner | 200 Hemlock St, Tawas City, MI 48763-9237 | 2008-10-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
Find all providers with the same taxonomy |
City | TAWAS CITY |
Zip Code | 48763 |
Please comment or provide details below to improve the information on VICTORIA MCGILLIS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.