| Doctor Name: | GERARDO NERI |
| NPI Number: | 1255686234 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | F0512404 |
| Business Practice Address: | 208 West Casablanca Ave Cannon Afb, NM - 881035014 |
| Business Phone Number: | 5757844037 |
| Business Fax Number: | |
| Mailing Address: | 208 West Casablanca Ave, CANNON AFB |
| State: | NM |
| Postal Code: | 881035014 |
| Phone Number: | 5757844037 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2012 |
| NPI Last Update Date: | 07/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F0512404 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |