Gillis, Latrice Marie

Gillis, Latrice Marie is an individual health care provider with primary practice located at 72 Evergreen Dr , Tonawanda NY 14150-6402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gillis, Latrice Marie can be contacted via phone (716) 799-2063.

Contact Information

Primary practice address
72 Evergreen Dr Tonawanda NY 14150-6402
Phone: (716) 799-2063
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 404533 New York

Profile Details

NPI number 1891407185
LBN Legal business name Gillis, Latrice Marie
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2022
Last updated Dec 19th, 2022 - 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.

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