Individual
MRS. BERIT CARLSON GISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
502 MADISON OAK DR, SUITE 440, SAN ANTONIO, TX 78258-4084
(210) 946-1300
(210) 946-1700
Mailing address
502 MADISON OAK DR, SUITE 440, SAN ANTONIO, TX 78258-4084
(210) 946-1300
(210) 946-1700
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
681984
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
681984
NURSING LICENSE
TX
Enumeration date
03/08/2007
Last updated
11/07/2023
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