Individual
GILLIAN G LETTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1225 12TH AVE, GRAFTON, WI 53024-1923
(833) 711-1930
Mailing address
1225 12TH AVE, GRAFTON, WI 53024-1923
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11857
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11857
WI
Other
Enumeration date
02/28/2022
Last updated
12/18/2024
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