Gillett, Carol Diane

Gillett, Carol Diane is an sole proprietor health care provider with primary practice located at 3818 County Road 36 , Angleton TX 77515. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gillett, Carol Diane can be contacted via phone (281) 595-2467.

Contact Information

Primary practice address
3818 County Road 36 Angleton TX 77515
Phone: (281) 595-2467
Fax: (281) 595-2467
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 507329 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 507329 Texas

Profile Details

NPI number 1538287958
LBN Legal business name Gillett, Carol Diane
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Oct 5th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538287958 NPPES
Texas MEDICAID 167608204

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