Individual
GILAINE FIESTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 667-0444
(407) 667-4338
Mailing address
851 TRAFALGAR CT STE 200E, MAITLAND, FL 32751-7420
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9331382
FL
163W00000X
Registered Nurse
95033114
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11002919
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103425400
—
FL
Enumeration date
01/15/2019
Last updated
01/27/2020
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