Individual
SUSAN M GISLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3917 WEST RD, STE 128, LOS ALAMOS, NM 87544-2275
(505) 662-4234
(505) 662-7894
Mailing address
101 BENYL ST, LOS ALAMOS, NM 87544
(505) 672-9578
(505) 662-7894
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R24089
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51342
—
NM
Enumeration date
09/09/2005
Last updated
07/08/2007
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