Individual
MRS. GISELLE DIZON EVORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4500 SION FARM, ISLAND MEDICAL CENTER, SUITE 3B, CHRISTIANSTED, VI 00820
(340) 778-5780
Mailing address
PO BOX 629, CHRISTIANSTED, VI 00821-0629
(340) 778-5780
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
10977P
VI
363LA2200X
Adult Health Nurse Practitioner
F303582
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02975015
—
NY
Enumeration date
01/25/2007
Last updated
09/12/2016
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