Individual
ERIN H GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP
Contact information
Practice address
1 COLUMBIA ST, SUITE 200, POUGHKEEPSIE, NY 12601-3923
(845) 473-1188
(845) 473-0896
Mailing address
1351 ROUTE 55, SUITE 101, LAGRANGEVILLE, NY 12540-5108
(845) 475-9600
(845) 475-9915
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F303896
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F303896
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02433287
—
NY
Enumeration date
08/31/2006
Last updated
12/29/2016
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