Individual
GERALDEI PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
170 PLEASANT ST STE 100, FALL RIVER, MA 02721-3015
(508) 493-2249
Mailing address
170 PLEASANT ST STE 100, FALL RIVER, MA 02721-3015
(508) 493-2249
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN281540
MA
363L00000X
Nurse Practitioner
Primary
RN281540
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN281540
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94101976
—
MA
Enumeration date
07/22/2020
Last updated
07/12/2022
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