Individual
RAISA GENAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
936 BARCARMIL WAY, NAPLES, FL 34110-0903
(239) 265-3391
(239) 310-2035
Mailing address
936 BARCARMIL WAY, NAPLES, FL 34110-0903
(239) 265-3391
(239) 310-2035
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN9330481
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0JEOM
BCBS
FL
05
—
103999800
—
FL
Enumeration date
01/15/2019
Last updated
01/22/2025
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