Individual
GEORGINA D MUTH-MAURELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
MUSC & SCDC MEDICAL ANNEX @ KIRKLAND CORRECTIONAL FACIL, 4344 BROAD RIVER ROAD, COLUMBIA, SC 29210
(908) 675-6290
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
(908) 675-6290
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00259000
NJ
363LF0000X
Family Nurse Practitioner
Primary
APN.27914
SC
Other
Enumeration date
11/04/2009
Last updated
12/08/2023
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