Provider Information for 1841801867
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GISELLE BOIGHA WIRLEN FNP-C
Sex: Female
NPI: 1841801867
Last Updated: 2023-06-15
Certification Date: 2023-06-06
Certification Date: 2023-06-06
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1841801867 | ||||||||
| Enumeration Date | 2020-08-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 26919 E UNIVERSITY DRIVE SUITE 200 AUBREY, TX 76227-7804 United States Phone: 469-338-7090 | Fax:469-519-5595 | ||||||||
| Primary Practice Address | 26919 E UNIVERSITY DRIVE SUITE 200 AUBREY, TX 76227-7804 United States Phone: 469-338-7090 | Fax:469-519-5595 | ||||||||
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