Gillan, Patricia
Gillan, Patricia is an individual health care provider with primary practice located at 1135 Morton St , Mattapan MA 02126-2834. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Gillan, Patricia can be contacted via phone (617) 533-2400.Contact Information
Primary practice address
1135 Morton St
Mattapan MA 02126-2834
Phone: (617) 533-2400
Fax: (617) 533-2401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent | 364SP0807X | 166491 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 166491 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 166491 | Massachusetts |
Profile Details
| NPI number | 1457428161 |
|---|---|
| LBN Legal business name | Gillan, Patricia |
| Credentials | N.P, M.S., C.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Sep 3rd, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457428161 | NPPES |
| Massachusetts | MEDICAID | 1892819 | |
| Massachusetts | Other | PN0539 | |
| Massachusetts | Other | 166491 |
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