Individual
SALLY GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
475 KILVERT ST, SUITE 310 MAIL ROUTE 0103400, WARWICK, RI 02886-1379
(781) 472-8665
Mailing address
216 MEDWAY ST, PROVIDENCE, RI 02906-5306
(678) 230-1561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NPP37392
RI
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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