Individual
ANGELA GILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
555 SAINT JOSEPHS BLVD, ELMIRA, NY 14901-3223
(607) 737-7002
(607) 271-3435
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 873-1244
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
525662
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403097
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06173931
—
NY
Enumeration date
03/30/2008
Last updated
11/12/2025
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