Individual
KERIANN MINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2601 HALPERIN AVE, BRONX, NY 10461-2630
(609) 356-6940
Mailing address
605 JOHNSTON AVE, HAMILTON, NJ 08629-1115
(609) 356-6940
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
312818
NY
363LG0600X
Gerontology Nurse Practitioner
26NJ15541500
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ15541500
NJ
Other
Enumeration date
05/04/2026
Last updated
08/13/2026
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