Healthcare Provider Details

I. General information

NPI: 1043131444
Provider Name (Legal Business Name): BRITNEE GILLETT
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3440 I 75 BUSINESS SPUR
SAULT SAINTE MARIE MI
49783-3607
US

IV. Provider business mailing address

3440 I 75 BUSINESS SPUR
SAULT SAINTE MARIE MI
49783-3607
US

V. Phone/Fax

Practice location:
  • Phone: 800-215-8262
  • Fax: 906-779-3195
Mailing address:
  • Phone: 800-015-8262
  • Fax: 906-779-3195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number4703095986
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: