Individual
SHIRLEY GILLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 MOUNT AUBURN ST, SUITE 517, CAMBRIDGE, MA 02138-5600
(617) 868-0847
(617) 491-6048
Mailing address
300 MOUNT AUBURN ST, SUITE 517, CAMBRIDGE, MA 02138-5600
(617) 868-0847
(617) 491-6048
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
175285
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0385590
—
MA
Enumeration date
05/01/2006
Last updated
03/02/2010
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