Gavrilles, Mary J

Gavrilles, Mary J is an individual health care provider with primary practice located at 718 Smyth Rd , Manchester NH 03104-4124. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gavrilles, Mary J can be contacted via phone (603) 624-4366.

Contact Information

Primary practice address
718 Smyth Rd Manchester NH 03104-4124
Phone: (603) 624-4366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 036369-23-03 New Hampshire

Profile Details

NPI number 1609826379
LBN Legal business name Gavrilles, Mary J
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Mar 29th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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