Provider Demographics
NPI:1811456486
Name:GELSON, GENICA FELISE (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:GENICA
Middle Name:FELISE
Last Name:GELSON
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E. SILVERADO RANCH BLVD.
Mailing Address - Street 2:STE. 170
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-7518
Mailing Address - Country:US
Mailing Address - Phone:702-240-6482
Mailing Address - Fax:702-804-0957
Practice Address - Street 1:2839 ST. ROSE PARKWAY
Practice Address - Street 2:STE. 160
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4849
Practice Address - Country:US
Practice Address - Phone:702-240-6482
Practice Address - Fax:702-240-8529
Is Sole Proprietor?:No
Enumeration Date:2019-03-13
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV818763363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner