Individual
MS. GILLIAN ELIZABETH CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
37 W GARDEN ST STE 102, AUBURN, NY 13021-2663
(315) 604-4406
(315) 604-4409
Mailing address
37 W GARDEN ST STE 102, AUBURN, NY 13021-2663
(315) 604-4406
(315) 604-4409
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
350002
NY
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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