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Individual

MICHELLE GILLENWATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
26 ALBERMARLE AVE, NEW ROCHELLE, NY 10801-2001
(941) 576-3584
Mailing address
26 ALBERMARLE AVE, NEW ROCHELLE, NY 10801-2001
(941) 576-3584

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
502394
NY
163WS0200X
School Registered Nurse
502394
NY

Other

Enumeration date
12/08/2008
Last updated
12/08/2008
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