Theodora Joan Gilliam, RN
NPI #1376991281 in Elkhart Lake, Wisconsin
Provider Information
- NPI Number
- 1376991281
- Entity Type
- Individual
- Name
- Theodora Joan Gilliam, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Jun 1, 2016
- Last Updated
- Jan 11, 2026
Practice Location
- Address
- 198 S. EST ST.
- City
- Elkhart Lake
- State
- Wisconsin
- ZIP Code
- 53020-0073
- Phone
- (920) 286-0284
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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