Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 26NN07282900 | NJ |
NPI | 1003898610 |
---|---|
Provider Name | Karen B Giquinto |
First Address | Pennington, NJ 08534-2520 |
Second Address | Pennington, NJ 08534-2520 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2005 |
Last Update Date | 17/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8471703 | (05) | NJ |
S74070 | (02) |