Provider Demographics
NPI:1386837698
Name:GISLER, YVONNE DENISE (CRNP)
Entity Type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:DENISE
Last Name:GISLER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 NORRISTOWN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2793
Mailing Address - Country:US
Mailing Address - Phone:267-446-3980
Mailing Address - Fax:267-965-7981
Practice Address - Street 1:321 NORRISTOWN RD STE 100
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-2793
Practice Address - Country:US
Practice Address - Phone:267-446-3980
Practice Address - Fax:267-965-7981
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007028B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP78032Medicare UPIN
PA066253RCSMedicare PIN