Provider Demographics
NPI:1831595198
Name:FERRANTE, GINA MARIE (ACNP)
Entity type:Individual
Prefix:MS
First Name:GINA
Middle Name:MARIE
Last Name:FERRANTE
Suffix:
Gender:
Credentials:ACNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7412011
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-2011
Mailing Address - Country:US
Mailing Address - Phone:314-362-7382
Mailing Address - Fax:314-747-3342
Practice Address - Street 1:70 JUNGERMANN CIR
Practice Address - Street 2:DIV NEUROLOGY STROKE, STE 203
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1622
Practice Address - Country:US
Practice Address - Phone:314-362-7382
Practice Address - Fax:314-747-3342
Is Sole Proprietor?:No
Enumeration Date:2014-11-14
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014040921363LG0600X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO420101998Medicaid