Individual
MS. RUBY APOLINARIO GERONIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1600 MEDICAL DR, LAURINBURG, NC 28352-5524
(910) 277-9164
(910) 277-9189
Mailing address
PO BOX 602458, CHARLOTTE, NC 28260-2458
(910) 277-9164
(910) 277-9189
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
268333
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356649503
—
NC
05
—
NP3382
—
SC
Enumeration date
03/10/2011
Last updated
03/02/2016
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