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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. ELISA MIRANDA SISON IRISARI, MD

Active

MRS. ELISA MIRANDA SISON IRISARI, MD is a Obstetrics & Gynecology healthcare provider located in MOUNDSVILLE, West Virginia. NPI 1770668816 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · MOUNDSVILLE, WV

Registration Details

NPI Number
1770668816
Provider Type
Individual
Gender
Female
NPI Issued
Oct 26, 2006 (19.847150291732 yrs)
Last Updated
Oct 28, 2016
Licenses
11087 (WV)
0108761 (OH)

Practice Information

Address
119 JEFFERSON AVE
MOUNDSVILLE, WV, 260411410
Browse WV providers · Browse ZIP 26041
Phone
3048458555
Fax
3048431008
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Obstetrics & Gynecology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.