| Doctor Name: | GISELLE L ROBERTSON |
| NPI Number: | 1780849398 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | R040963 |
| Business Practice Address: | 37 Clinic Rd Eleanor Widener Dixon Memorial Clinic Gouldsboro, ME - 046074013 |
| Business Phone Number: | 2079634066 |
| Business Fax Number: | 2079637723 |
| Mailing Address: | 50 Union St, Eleanor Widener Dixon Memorial Clinic ELLSWORTH |
| State: | ME |
| Postal Code: | 046051586 |
| Phone Number: | 2076645304 |
| Fax Number: | 2076645305 |
| NPI Enumeration Date: | 07/23/2008 |
| NPI Last Update Date: | 12/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R040963 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |