Provider Demographics
NPI:1902627250
Name:GERSTNER, ALYSON LEE
Entity type:Individual
Prefix:
First Name:ALYSON
Middle Name:LEE
Last Name:GERSTNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7966 MCCOOL RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45331-9656
Mailing Address - Country:US
Mailing Address - Phone:937-301-6060
Mailing Address - Fax:
Practice Address - Street 1:7966 MCCOOL RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-9656
Practice Address - Country:US
Practice Address - Phone:937-301-6060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide