Provider Demographics
NPI:1962074039
Name:GILL, NAWDEEP K (MSN, PNP-CPNP)
Entity type:Individual
Prefix:
First Name:NAWDEEP
Middle Name:K
Last Name:GILL
Suffix:
Gender:F
Credentials:MSN, PNP-CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2475 140TH AVE. NE
Mailing Address - Street 2:BUILDING C
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005
Mailing Address - Country:US
Mailing Address - Phone:425-814-5170
Mailing Address - Fax:425-636-8139
Practice Address - Street 1:2475 140TH AVE. NE
Practice Address - Street 2:BUILDING C
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005
Practice Address - Country:US
Practice Address - Phone:425-828-2257
Practice Address - Fax:425-636-8139
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP023255363LP0200X
WAAP61514941363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics