Individual
GINA M GENESIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
460 CREAMERY WAY, EXTON, PA 19341-2533
(610) 280-7960
Mailing address
460 CREAMERY WAY, EXTON, PA 19341-2533
(610) 280-7960
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP011369
PA
Other
Enumeration date
06/01/2011
Last updated
11/16/2011
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