Provider Demographics
NPI:1548222391
Name:GIARDINO, ELAINE VERONICA (APN-NP)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:VERONICA
Last Name:GIARDINO
Suffix:
Gender:F
Credentials:APN-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 PAYSON RD
Mailing Address - Street 2:
Mailing Address - City:PEQUANNOCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07440-1129
Mailing Address - Country:US
Mailing Address - Phone:973-696-5406
Mailing Address - Fax:
Practice Address - Street 1:48 PAYSON RD
Practice Address - Street 2:
Practice Address - City:PEQUANNOCK
Practice Address - State:NJ
Practice Address - Zip Code:07440-1129
Practice Address - Country:US
Practice Address - Phone:973-696-5406
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC01732300363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine