Individual
CHARISSE SHEENY GERVACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
427 W HERSCHEL ST, EGG HARBOR CITY, NJ 08215-3512
(609) 412-4644
(609) 593-6061
Mailing address
427 W HERSCHEL ST, EGG HARBOR CITY, NJ 08215-3512
(609) 412-4644
(609) 593-6061
Taxonomy
Speciality
Code
Description
License number
State
163WD1100X
Peritoneal Dialysis Registered Nurse
26NR25160900
NJ
163WH0200X
Home Health Registered Nurse
26NR25160900
NJ
163WH0500X
Hemodialysis Registered Nurse
Primary
26NR25160900
NJ
163WI0500X
Infusion Therapy Registered Nurse
26NR25160900
NJ
163WN0300X
Nephrology Registered Nurse
26NR25160900
NJ
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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