Provider Demographics
NPI:1669508966
Name:STARK-WECHSLER, GISEL ALEJANDRA (ARNP)
Entity Type:Individual
Prefix:MS
First Name:GISEL
Middle Name:ALEJANDRA
Last Name:STARK-WECHSLER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5513 MERRICK DR
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2531
Mailing Address - Country:US
Mailing Address - Phone:305-284-9100
Mailing Address - Fax:
Practice Address - Street 1:5513 MERRICK DR
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2531
Practice Address - Country:US
Practice Address - Phone:305-284-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9204203363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily