Provider Demographics
NPI:1467259499
Name:GILMORE, DENNY EUGENE (APRN)
Entity type:Individual
Prefix:
First Name:DENNY
Middle Name:EUGENE
Last Name:GILMORE
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9340 CHURCH BONNET ST UNIT 103
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-6790
Mailing Address - Country:US
Mailing Address - Phone:702-545-8230
Mailing Address - Fax:
Practice Address - Street 1:211 W ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-7102
Practice Address - Country:US
Practice Address - Phone:702-823-4300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV886817363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health