Provider Demographics
NPI:1811229420
Name:NABUIN, GISELE (DC)
Entity Type:Individual
Prefix:DR
First Name:GISELE
Middle Name:
Last Name:NABUIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:GISELE
Other - Middle Name:NABUIN
Other - Last Name:DC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, BS
Mailing Address - Street 1:1035 MURANDY LN
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28104-8052
Mailing Address - Country:US
Mailing Address - Phone:704-684-5045
Mailing Address - Fax:704-684-5045
Practice Address - Street 1:1035 MURANDY LN
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28104-8052
Practice Address - Country:US
Practice Address - Phone:704-684-5045
Practice Address - Fax:704-684-5045
Is Sole Proprietor?:No
Enumeration Date:2010-02-06
Last Update Date:2010-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3992111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor