Individual
MRS. EVANGELINE GENNARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10098 W MCNAB RD, TAMARAC, FL 33321-1895
(954) 724-9080
Mailing address
16314 SAPPHIRE DR, WESTON, FL 33331-3120
(954) 349-7826
(954) 349-7826
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1100572
FL
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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