Individual
GAYLE WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8085 N EVERETT RD, ROSCOMMON, MI 48653-9212
(989) 275-8385
(989) 275-7009
Mailing address
8085 N EVERETT RD, ROSCOMMON, MI 48653-9212
(989) 275-8385
(989) 275-7009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704151085
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-04-151085
—
MI
Enumeration date
04/12/2007
Last updated
07/08/2007
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