Individual
GILLIAN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-1000
Mailing address
19617 90TH AVE, HOLLIS, NY 11423-2617
(646) 575-3160
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F337158-1
NY
Other
Enumeration date
02/01/2013
Last updated
02/20/2013
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