Individual
MS. PATRICIA GILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P, M.S., C.S.
Contact information
Practice address
1135 MORTON ST, MATTAPAN, MA 02126-2834
(617) 533-2400
(617) 533-2401
Mailing address
1135 MORTON ST, MATTAPAN, MA 02126-2834
(617) 533-2300
(617) 533-2341
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
166491
MA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
166491
MA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
166491
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166491
TUFTS
MA
05
—
1892819
—
MA
01
—
PN0539
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/29/2006
Last updated
09/03/2021
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