THEODORA GILLIAM, RN

Registered Nurse

Active Individual
NPI: 1376991281

Practice Address

198 S. EST ST.
Elkhart Lake, WI 53020

Phone: (920) 286-0284

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X Yes 60785-30 (WI)

Frequently Asked Questions

NPI 1376991281 is the National Provider Identifier for THEODORA GILLIAM, RN, a Registered Nurse provider located in Elkhart Lake, WI. This NPI was enumerated on June 1, 2016.
THEODORA GILLIAM, RN practices at 198 S. EST ST., Elkhart Lake, WI 53020.

Quick Facts

NPI
1376991281
Type
Individual
Enumerated
Jun 1, 2016
Last Updated
Jan 11, 2026

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