Provider Demographics
NPI:1043761554
Name:DELEO, GINA MARIE (APN)
Entity Type:Individual
Prefix:MS
First Name:GINA
Middle Name:MARIE
Last Name:DELEO
Suffix:
Gender:F
Credentials:APN
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Mailing Address - Street 1:208 W WHITE HORSE PIKE
Mailing Address - Street 2:POBOX 907
Mailing Address - City:POMONA
Mailing Address - State:NJ
Mailing Address - Zip Code:08240-0907
Mailing Address - Country:US
Mailing Address - Phone:609-652-2256
Mailing Address - Fax:609-652-8023
Practice Address - Street 1:2500 ENGLISH CREEK AVE
Practice Address - Street 2:BUILDING 600, SUITE 601
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234
Practice Address - Country:US
Practice Address - Phone:609-833-9925
Practice Address - Fax:609-833-9927
Is Sole Proprietor?:No
Enumeration Date:2016-10-19
Last Update Date:2023-03-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00667100363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner