Most Relevant Information
Provider Data
| NPI Number: | 1003051962 |
| Provider Name: | MICHELLE GILLENWATER RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WM0705X |
| Specialty: | Registered Nurse |
| License Number: | 502394 |
Most Important Dates
| Enumeration Date: | 12/08/2008 |
| Last Updated: | 12/08/2008 |
Provider Practice Location
26 ALBERMARLE AVE
NEW ROCHELLE
NY
108012001
Practice Location Phone/Fax
| Phone: | 9415763584 |
| Fax: |
Provider Mailing Location
26 ALBERMARLE AVE
NEW ROCHELLE
NY
108012001
Provider Mailing Phone/Fax
| Phone: | 9415763584 |
| Fax: |