Individual
GISELLE DICOSTANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4218 W MAIN ST, GRAY, LA 70359-6408
(985) 493-4944
(985) 493-4943
Mailing address
113 SAINT JOSEPH ST, THIBODAUX, LA 70301-3612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F01230535
LA
Other
Enumeration date
02/02/2023
Last updated
07/30/2026
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