MEDICARE: ELAINE VERONICA GIARDINO APN-NP

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	363LC0200X	Critical Care Medicine Nurse Practitioner	26NC01732300	NJ

General Provider Information

NPI Number	:	1548222391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINE VERONICA GIARDINO APN-NP

Provider Business Mailing Address
First Line	:	48 PAYSON RD
Second Line	:
City	:	PEQUANNOCK
State	:	NJ
Zip	:	07440-1129
Country	:	US
Telephone Number	:	973-696-5406
Fax Number	:

Provider Business Practice Location Address
First Line	:	48 PAYSON RD
Second Line	:
City	:	PEQUANNOCK
State	:	NJ
Zip	:	07440-1129
Country	:	US
Telephone Number	:	973-696-5406
Fax Number	:

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

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	07/08/2007

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