Gisler, Susan M

Gisler, Susan M is an individual health care provider with primary practice located at 3917 West Rd Ste 128, Los Alamos NM 87544-2275. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gisler, Susan M can be contacted via phone (505) 662-4234.

Contact Information

Primary practice address
3917 West Rd Ste 128 Los Alamos NM 87544-2275
Phone: (505) 662-4234
Fax: (505) 662-7894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R24089 New Mexico

Profile Details

NPI number 1902890593
LBN Legal business name Gisler, Susan M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902890593 NPPES
New Mexico MEDICAID 51342

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