Individual
NICOLE JOY FASULO GERATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2025 SHERRYL AVE, ELDERSBURG, MD 21784-6352
(443) 377-2078
Mailing address
2025 SHERRYL AVE, ELDERSBURG, MD 21784-6352
(443) 377-2078
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R200073
MD
Other
Enumeration date
03/03/2022
Last updated
04/29/2025
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