| Prabhjot Gill, | |
|
2225 Challenger Way, Santa Rosa, CA 95407-5441 | |
| (707) 576-8181 | |
| Not Available |
| Full Name | Prabhjot Gill |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 2225 Challenger Way, Santa Rosa, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093391070 | NPI | - | NPPES |
| 95237192 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 95237192 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Prabhjot Gill, 2800 Saint Paul Dr Apt 245, Santa Rosa, CA 95405-8505 Ph: (352) 362-1499 | Prabhjot Gill, 2225 Challenger Way, Santa Rosa, CA 95407-5441 Ph: (707) 576-8181 |
Roxanne Marie Moon, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 112 Childrens Cir, Santa Rosa, CA 95409 Phone: 707-565-6350 | |
Suzetta Richmond, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1739 Fourth Street, Santa Rosa, CA 95404 Phone: 707-528-6331 Fax: 707-528-6587 | |
Maureen Flynn Garcia, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3725 Westwind Blvd, Santa Rosa, CA 95403 Phone: 707-565-8070 | |
Jerry Genung, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3322 Chanate Rd, Santa Rosa, CA 95404 Phone: 707-565-4970 | |
Mr. John David Wildgust, RN, MSN, PHN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 935 Hunter Ln, Santa Rosa, CA 95404 Phone: 707-480-2030 Fax: 707-588-9032 | |
Mrs. Lucille A Capo Rome, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2225 Challenger Way, Santa Rosa, CA 95407 Phone: 707-565-6625 | |
Connie Lee Luebkeman, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3322 Chanate Rd, Santa Rosa, CA 95404 Phone: 707-565-4970 |