National Provider Identifier
Latrice Marie Gillis, PMHNP
Latrice Marie Gillis, PMHNP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Tonawanda, NY and a listed phone number of (716) 799-2063.
Profile Overview
- NPI
- 1891407185
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- December 19, 2022
- Last Updated
- December 19, 2022
Practice Location
- 72 Evergreen Dr
- Tonawanda, NY 14150-6402
Phone: (716) 799-2063
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Endpoints
- ROBINSON
Connect Url | Health Information Exchange (Hie) | Csv | Tonawanda, NY 14150
Surname
Full Record
- NPI
- 1891407185
- Entity Type
- Individual
- Last Name
- Gillis
- First Name
- Latrice
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- PMHNP
- Mailing Street Address
- 72 Evergreen Dr
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-6402
- Mailing Country
- US
- Mailing Phone
- (716) 799-2063
- Practice Street Address
- 72 Evergreen Dr
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-6402
- Practice Country
- US
- Practice Phone
- (716) 799-2063
- Enumeration Date
- December 19, 2022
- Last Updated
- December 19, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 19, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)