person
Mrs. Latrice Marie Gillis, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Tonawanda, New York
NPI 1891407185

Latrice Marie Gillis is a Psychiatric/Mental Health Nurse Practitioner based in Tonawanda, NY and is specialized in Psychiatric/Mental Health. Latrice Marie Gillis practices in Tonawanda, NY and has the professional credentials of PMHNP. The NPI Number for Latrice Marie Gillis is 1891407185 and holds a License No. 404533 (New York).

The current practice location address for Latrice Marie Gillis is 72 Evergreen Dr, Tonawanda, NY and can be reached out via phone at 716-799-2063.

Location: 72 Evergreen Dr, Tonawanda, NY, 14150-6402
person
Provider Profile Details
NPI Number
1891407185
Provider Name
Latrice Marie Gillis
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
72 Evergreen Dr, Tonawanda, NY, 14150-6402
Phone Number
716-799-2063
Fax Number
Provider Enumeration Date
12/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
72 Evergreen Dr
City
State
Zip
14150-6402
Phone Number
716-799-2063
Fax Number
person
Provider Business Mailing Address Details
Address
72 Evergreen Dr
City
State
Zip
14150-6402
Phone Number
716-799-2063
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
404533 (New York)
Definition
Definition to come...
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