Doctor Name: | MS. CONSTANCE MARY GILLETT |
NPI Number: | 1013924273 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 151235 |
Business Practice Address: | 300 Hanover St Ste 1e Fall River, MA - 027205444 |
Business Phone Number: | 5086797770 |
Business Fax Number: | 5086797786 |
Mailing Address: | 300 Hanover St, Ste 1e FALL RIVER |
State: | MA |
Postal Code: | 027205444 |
Phone Number: | 5086797770 |
Fax Number: | 5086797786 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 10/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 151235 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |