Provider Demographics
NPI:1255864153
Name:BUERANO, GERALDINE (APN)
Entity Type:Individual
Prefix:
First Name:GERALDINE
Middle Name:
Last Name:BUERANO
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 DEERPARK DR
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-1919
Mailing Address - Country:US
Mailing Address - Phone:732-274-1122
Mailing Address - Fax:610-925-7096
Practice Address - Street 1:2 DEERPARK DR
Practice Address - Street 2:
Practice Address - City:MONMOUTH JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08852-1919
Practice Address - Country:US
Practice Address - Phone:732-274-1122
Practice Address - Fax:609-925-7096
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00721400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily