Provider Demographics
NPI:1760131486
Name:CHIN, GISELA (APRN)
Entity Type:Individual
Prefix:
First Name:GISELA
Middle Name:
Last Name:CHIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:5130 S FORT APACHE RD STE 215
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-1732
Mailing Address - Country:US
Mailing Address - Phone:702-798-0111
Mailing Address - Fax:866-333-0436
Practice Address - Street 1:5741 S FORT APACHE RD STE 120
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5622
Practice Address - Country:US
Practice Address - Phone:702-798-0111
Practice Address - Fax:866-333-0436
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-21
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV851845363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily