Individual
CARLY LYNN GEORGIANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
10 BROADWAY, DENVILLE, NJ 07834-2856
(973) 625-7734
Mailing address
10 BROADWAY, DENVILLE, NJ 07834-2856
(973) 625-7734
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15303100
NJ
Other
Enumeration date
04/01/2025
Last updated
04/30/2026
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