Gillett, Constance Mary

Gillett, Constance Mary is an individual health care provider with primary practice located at 300 Hanover St Ste 1E, Fall River MA 02720-5444. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gillett, Constance Mary can be contacted via phone (508) 679-7770.

Contact Information

Primary practice address
300 Hanover St Ste 1E Fall River MA 02720-5444
Phone: (508) 679-7770
Fax: (508) 679-7786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 151235 Massachusetts

Profile Details

NPI number 1013924273
LBN Legal business name Gillett, Constance Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Oct 17th, 2013 - about 11 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 1013924273 NPPES
Massachusetts Other NP2476 MA BCBS
Massachusetts Other 0000022917 MA BCBS
Massachusetts Other 410546 MA BCBS
Massachusetts MEDICAID 0376311 MA BCBS

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