Provider Demographics
NPI:1184995474
Name:DRESCHER, GISELLE KARINA (CRNA)
Entity type:Individual
Prefix:MS
First Name:GISELLE
Middle Name:KARINA
Last Name:DRESCHER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:GISSELLE
Other - Middle Name:KARINA
Other - Last Name:ANDRAMUNIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP CRNA
Mailing Address - Street 1:1717 S ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2944
Mailing Address - Country:US
Mailing Address - Phone:407-650-7000
Mailing Address - Fax:302-651-4945
Practice Address - Street 1:92 W MILLER ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2032
Practice Address - Country:US
Practice Address - Phone:407-649-9111
Practice Address - Fax:321-841-4603
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9267888367500000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004664200Medicaid
FLFY073ZMedicare PIN