National Provider Identifier

Kristal Gillette

Kristal Gillette is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (678) 548-9034.

NPI 1811423734Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1811423734
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 11, 2017
Last Updated
May 11, 2017

Practice Location

  • 81 Fernhill Ave
  • Buffalo, NY 14215-3127

Phone: (678) 548-9034

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1811423734
Entity Type
Individual
Last Name
Gillette
First Name
Kristal
Mailing Street Address
81 Fernhill Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-3127
Mailing Country
US
Practice Street Address
81 Fernhill Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3127
Practice Country
US
Practice Phone
(678) 548-9034
Enumeration Date
May 11, 2017
Last Updated
May 11, 2017
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)