Individual
GEORGINA GENUARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
34 LAKEVIEW DR, PROVIDENCE, RI 02910-1006
(508) 405-5724
Mailing address
34 LAKEVIEW DR, PROVIDENCE, RI 02910-1006
(508) 405-5724
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4265957
RI
163WD0400X
Diabetes Educator Registered Nurse
RN52564
RI
163WN1003X
Nutrition Support Registered Nurse
RN52564
RI
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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