Provider Demographics
NPI:1780980763
Name:HANCE, GISELE MARIE (RN)
Entity type:Individual
Prefix:MS
First Name:GISELE
Middle Name:MARIE
Last Name:HANCE
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 1:637 COUNTY ROUTE 1
Mailing Address - Street 2:
Mailing Address - City:FORT COVINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:12937
Mailing Address - Country:US
Mailing Address - Phone:518-358-6625
Mailing Address - Fax:
Practice Address - Street 1:637 COUNTY ROUTE 1
Practice Address - Street 2:
Practice Address - City:FORT COVINGTON
Practice Address - State:NY
Practice Address - Zip Code:12937-2807
Practice Address - Country:US
Practice Address - Phone:518-358-6625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY382134-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse