Provider Demographics
NPI:1851043277
Name:TSILIONIS, GINA MARIE (RN)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:MARIE
Last Name:TSILIONIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 SPRING HILL CT
Mailing Address - Street 2:
Mailing Address - City:LITTLE RIVER
Mailing Address - State:SC
Mailing Address - Zip Code:29566-7151
Mailing Address - Country:US
Mailing Address - Phone:609-306-7527
Mailing Address - Fax:
Practice Address - Street 1:3000 SPRING HILL CT
Practice Address - Street 2:
Practice Address - City:LITTLE RIVER
Practice Address - State:SC
Practice Address - Zip Code:29566-7151
Practice Address - Country:US
Practice Address - Phone:609-306-7527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC262915163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse