Gilaine Fiestan, RN
Nurse Anesthetist, Certified Registered in Orlando, FL. Individual provider (NPI-1).
NPI number1124592811
StatusActive
Last updated in NPPESJan 27, 2020
Details
- NPI
- 1124592811
- Entity type
- Individual (NPI-1)
- Name
- Gilaine Fiestan
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2019
- Certification date
- Jan 27, 2020
- Last updated
- Jan 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11002919 | FL | Yes |
| 163W00000X | Registered Nurse | 95033114 | CA | |
| 163W00000X | Registered Nurse | 9331382 | FL |
Practice location
601 E Rollins StOrlando, FL 32803-1248
Phone 407-667-0444 · Fax 407-667-4338
Mailing address
851 Trafalgar Ct Ste 200eMaitland, FL 32751-7420
Phone 407-667-0444 · Fax 407-667-4338
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