Provider Demographics
NPI:1467060871
Name:GENUARDI, CHARNEE MELANIE
Entity Type:Individual
Prefix:
First Name:CHARNEE
Middle Name:MELANIE
Last Name:GENUARDI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 DEKALB ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3426
Mailing Address - Country:US
Mailing Address - Phone:610-278-3601
Mailing Address - Fax:610-278-3769
Practice Address - Street 1:1430 DEKALB ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3426
Practice Address - Country:US
Practice Address - Phone:610-278-3601
Practice Address - Fax:610-278-3769
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator