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General NPI Number Information
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NPI Number | 1811030828
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Entity Type | Individual
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Provider Name | DONNA ANN GILLETTE ANP
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Gender | Female
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | ST. CAMILLUS HEALTH & REHABILITATION CENTER 813 FAY RD
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City | SYRACUSE
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State | NY
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Zip | 13219
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Country | US
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Telephone | 315-488-2951
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Fax |
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Provider Business Mailing Address
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Address Line | 14 RICHLEE DR
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City | CAMILLUS
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State | NY
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Zip | 13031-1548
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F300939
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License Number State | NY
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