Healthcare Provider Details

I. General information

NPI: 1114614617
Provider Name (Legal Business Name): GERALDA LOUIS-ISMA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 01/04/2026
Certification Date: 01/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 CARLSON RD APT A
FRAMINGHAM MA
01702-7565
US

IV. Provider business mailing address

32 CARLSON RD APT A
FRAMINGHAM MA
01702-7565
US

V. Phone/Fax

Practice location:
  • Phone: 305-560-1186
  • Fax:
Mailing address:
  • Phone: 305-560-1186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN2381993
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF12250615
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: