Provider Demographics
NPI:1841801867
Name:WIRLEN, GISELLE BOIGHA (FNP-C)
Entity Type:Individual
Prefix:
First Name:GISELLE
Middle Name:BOIGHA
Last Name:WIRLEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26919 E UNIVERSITY DRIVE SUITE 200
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-7804
Mailing Address - Country:US
Mailing Address - Phone:469-338-7090
Mailing Address - Fax:469-519-5595
Practice Address - Street 1:26919 E UNIVERSITY DRIVE SUITE 200
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-7804
Practice Address - Country:US
Practice Address - Phone:469-338-7090
Practice Address - Fax:469-519-5595
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-13
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141401363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily