Provider Demographics
NPI:1144716648
Name:GERMAIN, FLORENCE (AGACNP)
Entity type:Individual
Prefix:MS
First Name:FLORENCE
Middle Name:
Last Name:GERMAIN
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 4TH ST
Mailing Address - Street 2:
Mailing Address - City:HAZLET TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07734-2918
Mailing Address - Country:US
Mailing Address - Phone:732-829-4816
Mailing Address - Fax:
Practice Address - Street 1:212 4TH ST
Practice Address - Street 2:
Practice Address - City:HAZLET TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07734-2918
Practice Address - Country:US
Practice Address - Phone:732-829-4816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-08
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14341363LG0600X
NJ26NJ00833900363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty