Provider Demographics
NPI:1780952275
Name:GISH, AIMEE C (CRNP)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:C
Last Name:GISH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-263-0629
Mailing Address - Fax:717-263-7105
Practice Address - Street 1:835 5TH AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4220
Practice Address - Country:US
Practice Address - Phone:717-263-0629
Practice Address - Fax:717-263-7105
Is Sole Proprietor?:No
Enumeration Date:2011-12-12
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011881363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102702551 0003Medicaid
PA8728180OtherAETNA HMO
PAP01015766OtherRAILROAD MEDICARE
PA102702551 0001Medicaid
PA50105751OtherCAPITAL BLUE CROSS
PA50113237OtherCAPITAL BLUE CROSS
PA8340778OtherAETNA HMO
PA9938798OtherAETNA NON HMO
PA102702551 0002Medicaid
PA102702551 0002Medicaid