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Contact Information

JUDITH L GILLUM, R.N., C.N.P.
4100 HIGH RESORT BLVD SE
RIO RANCHO, NM87124-5901
 Phone: 505-462-8517
 Fax: 505-462-8510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JUDITH L GILLUM · (Female)

NPI Number 1447359138
Status Active
Credentials R.N., C.N.P.
Entity Individual
Enumeration date 09/21/2006
Last updated 03/21/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NM License # CNP00153
  • NM License # R14939
Hospital affiliation(s)
  • PRESBYTERIAN HOSPITAL - (Acute Care)
    1100 CENTRAL AVENUE SE
    ALBUQUERQUE, NM 87106
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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