Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 26NC01732300 | NJ |
NPI | 1548222391 |
---|---|
Provider Name | Elaine Veronica Giardino |
First Address | Pequannock, NJ 07440-1129 |
Second Address | Pequannock, NJ 07440-1129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 08/07/2007 |