Gennocro, Erin Eddy

Gennocro, Erin Eddy is an individual health care provider with primary practice located at 4730 E State Road 64 Ste A , Bradenton FL 34208-9058. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gennocro, Erin Eddy can be contacted via phone (941) 253-0300.

Contact Information

Primary practice address
4730 E State Road 64 Ste A Bradenton FL 34208-9058
Phone: (941) 253-0300
Fax: (941) 348-1056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9343590 Florida

Profile Details

NPI number 1023006376
LBN Legal business name Gennocro, Erin Eddy
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Nov 7th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023006376 NPPES
Florida MEDICAID 007852900

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