MEDICARE: GENTILLE HEALTH AND AESTHETICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1982530903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTILLE HEALTH AND AESTHETICS

Provider Business Mailing Address
First Line	:	PO BOX 103
Second Line	:
City	:	PLYMOUTH
State	:	NH
Zip	:	03264-0103
Country	:	US
Telephone Number	:	617-930-0575
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 RIVER RIDGE RD
Second Line	:
City	:	PLYMOUTH
State	:	NH
Zip	:	03264-3611
Country	:	US
Telephone Number	:	617-930-0575
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SARAH CAMPBELL
Credential	:	APRN-BC
Telephone Number	:	617-930-0575

Provider Enumeration Date	:	06/18/2026
Last Update Date	:	06/18/2026

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Directions to “GENTILLE HEALTH AND AESTHETICS ” Practice Location

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