Provider Demographics
NPI:1528728011
Name:SILLS, GLYNIS
Entity type:Individual
Prefix:MRS
First Name:GLYNIS
Middle Name:
Last Name:SILLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 GLOUCESTER CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-3229
Mailing Address - Country:US
Mailing Address - Phone:609-505-3049
Mailing Address - Fax:
Practice Address - Street 1:17 GLOUCESTER CT
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-3229
Practice Address - Country:US
Practice Address - Phone:609-505-3049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-23
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty