Provider Demographics
NPI:1083183297
Name:GIESE, ELENA ALEXANDRA (APNP)
Entity Type:Individual
Prefix:MRS
First Name:ELENA
Middle Name:ALEXANDRA
Last Name:GIESE
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:801 YORK ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4630
Mailing Address - Country:US
Mailing Address - Phone:920-663-9008
Mailing Address - Fax:920-684-1439
Practice Address - Street 1:7001 S HOWELL AVE STE 900
Practice Address - Street 2:
Practice Address - City:OAK CREEK
Practice Address - State:WI
Practice Address - Zip Code:53154-1408
Practice Address - Country:US
Practice Address - Phone:262-898-4400
Practice Address - Fax:414-435-3406
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-16
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI8595-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily