Individual
MRS. ANGELA LEE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
288 HOLTSHIRE RD., ORANGE, MA 01364
(978) 855-7474
Mailing address
288 HOLTSHIRE RD., ORANGE, MA 01364
(978) 855-7474
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN2300324
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110120262
MASS HEALTH PROVIDER
MA
Enumeration date
11/15/2016
Last updated
09/21/2022
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