Healthcare Provider Details

I. General information

NPI: 1427936764
Provider Name (Legal Business Name): LAURA ANN GILLETTE MSN, RN, NPD-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

269 UNION ST
LYNN MA
01901-1314
US

IV. Provider business mailing address

349 ESSEX AVE
GLOUCESTER MA
01930-2301
US

V. Phone/Fax

Practice location:
  • Phone: 781-581-3900
  • Fax:
Mailing address:
  • Phone: 978-290-3173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License NumberRN201279
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: