Provider Demographics
NPI:1568035533
Name:CIRES, GISSELLE (RN)
Entity Type:Individual
Prefix:MISS
First Name:GISSELLE
Middle Name:
Last Name:CIRES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10881 SW 181ST TER
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-9028
Mailing Address - Country:US
Mailing Address - Phone:305-240-4727
Mailing Address - Fax:
Practice Address - Street 1:10881 SW 181ST TER
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-9028
Practice Address - Country:US
Practice Address - Phone:305-240-4727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-19
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9486742163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse