Basic Information
| Provider Information | |||||||||
| NPI: | 1366528820 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GILYAN | ||||||||
| FirstName: | DANNIELLE | ||||||||
| MiddleName: | CHRISTINE | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | FNP-C, RN, MSN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2445 DIRECTORS ROW STE C | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462414936 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3179417338 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2445 DIRECTORS ROW STE C | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462414936 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3176192133 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/27/2006 | ||||||||
| LastUpdateDate: | 07/25/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NC0060X | 28149897A | IN | N | Hospitals | General Acute Care Hospital | Critical Access | 363LF0000X | 71009152A | IN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.