Germodo, Fleurdeliz Alabanzas
Germodo, Fleurdeliz Alabanzas is an individual health care provider with primary practice located at 141 Route 70 E Ste B , Marlton NJ 08053-1855. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Germodo, Fleurdeliz Alabanzas can be contacted via phone (856) 596-9057.Contact Information
Primary practice address
141 Route 70 E Ste B
Marlton NJ 08053-1855
Phone: (856) 596-9057
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 26NJ01269900 | New Jersey |
Profile Details
| NPI number | 1053069039 |
|---|---|
| LBN Legal business name | Germodo, Fleurdeliz Alabanzas |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2022 |
| Last updated | Sep 30th, 2024 - about 2 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053069039 | NPPES |
| New Jersey | MEDICAID | 0840394 |
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