Doctor Name: | CYNTHIA GERONIMO |
NPI Number: | 1043542160 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | RN279712 |
Business Practice Address: | 290 Day St Leominster, MA - 014531716 |
Business Phone Number: | 9785495775 |
Business Fax Number: | |
Mailing Address: | 290 Day St, LEOMINSTER |
State: | MA |
Postal Code: | 014531716 |
Phone Number: | 9785495775 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2010 |
NPI Last Update Date: | 04/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN279712 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |