Provider Demographics
NPI:1770342750
Name:GIS, ALINA V (PA-C)
Entity type:Individual
Prefix:
First Name:ALINA
Middle Name:V
Last Name:GIS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:307 N 30TH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-3673
Mailing Address - Country:US
Mailing Address - Phone:360-770-1829
Mailing Address - Fax:
Practice Address - Street 1:307 N 30TH ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-3673
Practice Address - Country:US
Practice Address - Phone:360-770-1829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant