Individual provider · Type 1 NPI
Latrice Marie Gillis, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Tonawanda, NY
NPI number
1891407185
Active
Practice location
72 Evergreen Dr
Tonawanda, NY 14150-6402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 404533 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1891407185
Latrice Marie Gillis, PMHNP's National Provider Identifier is 1891407185, issued on Dec 19, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tonawanda, NY. The record was last updated on Dec 19, 2022.