MEDICARE: KRISTI E GERNAGA ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP9180414	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376579201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTI E GERNAGA ARNP

Provider Business Mailing Address
First Line	:	500 N HIATUS RD STE 200
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-5213
Country	:	US
Telephone Number	:	954-437-4800
Fax Number	:	954-437-6628

Provider Business Practice Location Address
First Line	:	500 N HIATUS RD STE 200
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-5213
Country	:	US
Telephone Number	:	954-437-4800
Fax Number	:	954-437-9982

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	12/16/2021

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Directions to “ KRISTI E GERNAGA ARNP” Practice Location

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