Provider Demographics
NPI:1255757274
Name:LORIUS, GISELLE ALANA (RN)
Entity type:Individual
Prefix:
First Name:GISELLE
Middle Name:ALANA
Last Name:LORIUS
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 1:272 E 53RD ST APT 1R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-3670
Mailing Address - Country:US
Mailing Address - Phone:404-509-4471
Mailing Address - Fax:
Practice Address - Street 1:272 E 53RD STREET, APT 1R
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-3670
Practice Address - Country:US
Practice Address - Phone:404-509-4471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-14
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY642812163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health