Individual
MS. CONSTANCE MARY GILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
300 HANOVER ST, STE 1E, FALL RIVER, MA 02720-5444
(508) 679-7770
(508) 679-7786
Mailing address
300 HANOVER ST, STE 1E, FALL RIVER, MA 02720-5444
(508) 679-7770
(508) 679-7786
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
151235
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000022917
BCBS RI
—
05
—
0376311
—
MA
01
—
410546
BLUECHIP
RI
01
—
NP2476
MA BCBS
MA
Enumeration date
08/01/2006
Last updated
10/17/2013
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