Individual
DONNA ANN GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
ST. CAMILLUS HEALTH & REHABILITATION CENTER, 813 FAY RD, SYRACUSE, NY 13219
(315) 488-2951
Mailing address
14 RICHLEE DR, CAMILLUS, NY 13031-1548
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300939
NY
Other
Enumeration date
02/15/2007
Last updated
01/28/2008
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