Individual
CYNTHIA GERONIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
193200000X
Multi-Specialty Group
26NJ00656300
NJ
363LF0000X
Family Nurse Practitioner
Primary
RN279712
MA
Other
Enumeration date
02/01/2010
Last updated
11/08/2019
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