Individual
GENET MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 TARTAN RD, GIBSONIA, PA 15044-9499
(727) 799-9625
Mailing address
121 TARTAN RD, GIBSONIA, PA 15044-9499
(724) 799-9625
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP013947
PA
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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