Individual
CAROL DIANE GILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3818 COUNTY ROAD 36, ANGLETON, TX 77515
(281) 595-2467
(281) 595-2467
Mailing address
PO BOX 1355, ANGLETON, TX 77516
(281) 595-2467
(281) 595-2467
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
507329
TX
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
507329
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167608204
—
TX
Enumeration date
03/26/2007
Last updated
10/05/2012
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