National Provider Identifier
Marybeth A Gillis
Marybeth A Gillis is listed in the NPPES registry with a primary specialty of Registered Nurse in Elmira, NY and a listed phone number of (607) 737-4927.
Profile Overview
- NPI
- 1720596687
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- January 12, 2018
- Last Updated
- January 12, 2018
Practice Location
- 100 Washington St
- Elmira, NY 14901-2849
Phone: (607) 737-4927
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1720596687
- Entity Type
- Individual
- Last Name
- Gillis
- First Name
- Marybeth
- Middle Name
- A
- Mailing Street Address
- 100 Washington St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-2849
- Mailing Country
- US
- Mailing Phone
- (607) 737-4927
- Mailing Fax
- (607) 737-9080
- Practice Street Address
- 100 Washington St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-2849
- Practice Country
- US
- Practice Phone
- (607) 737-4927
- Practice Fax
- (607) 737-9080
- Enumeration Date
- January 12, 2018
- Last Updated
- January 12, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)