Provider Demographics
NPI:1881130490
Name:ZALASKI, GERALDINE DIFONZO (FNP-BC)
Entity type:Individual
Prefix:
First Name:GERALDINE
Middle Name:DIFONZO
Last Name:ZALASKI
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 HUNTTEAM LN
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-6162
Mailing Address - Country:US
Mailing Address - Phone:856-237-9769
Mailing Address - Fax:484-315-8362
Practice Address - Street 1:105 HUNTTEAM LN
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-6162
Practice Address - Country:US
Practice Address - Phone:856-237-9769
Practice Address - Fax:484-315-8362
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP017001363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily