Basic Information
| Provider Information | |||||||||
| NPI: | 1790780807 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GILMORE-CASHERO | ||||||||
| FirstName: | NANCY | ||||||||
| MiddleName: | N. | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 120 W PINE ST | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | KS | ||||||||
| PostalCode: | 667251705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6204292101 | ||||||||
| FaxNumber: | 6204292106 | ||||||||
| Practice Location | |||||||||
| Address1: | 120 W PINE ST | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | KS | ||||||||
| PostalCode: | 667251705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6204292101 | ||||||||
| FaxNumber: | 6204292106 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2005 | ||||||||
| LastUpdateDate: | 09/26/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 45331 | KS | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.