Provider Demographics
NPI:1669644811
Name:BRUNSKILL, GISELA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:GISELA
Middle Name:
Last Name:BRUNSKILL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:GISELA
Other - Middle Name:
Other - Last Name:FIX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:150 MUIR RD. ( MAIL STOP 111C)
Mailing Address - Street 2:VA OUTPATIENT CLINIC
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-4668
Mailing Address - Country:US
Mailing Address - Phone:925-372-2000
Mailing Address - Fax:
Practice Address - Street 1:150 MUIR RD. ( MAIL STOP 111C)
Practice Address - Street 2:VA OUTPATIENT CLINIC
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4668
Practice Address - Country:US
Practice Address - Phone:925-372-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17649363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily