Active NPIIndividual providerSole proprietor

Charisse Sheeny Gervacio, RN

Registered Nurse, Hemodialysis in Egg Harbor City, New Jersey

NPI Number1902678808
Practice location
427 W Herschel St, Egg Harbor City, NJ 08215-3512
Fax
609-593-6061
Last updated
October 24, 2023

Charisse Sheeny Gervacio is a Registered Nurse, Hemodialysis based in Egg Harbor City, NJ. Charisse Sheeny Gervacio practices in Egg Harbor City, NJ and has the professional credentials of RN. The NPI Number for Charisse Sheeny Gervacio is 1902678808 and holds a License No. 26NR25160900 (NJ). The current practice location address for Charisse Sheeny Gervacio is 427 W Herschel St, Egg Harbor City, NJ 08215-3512 and can be reached out via phone at 609-412-4644 and via fax at 609-593-6061.

Provider Profile Details

NPI Number
1902678808
Provider Name
Charisse Sheeny Gervacio
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
427 W Herschel St, Egg Harbor City, NJ 08215-3512
Phone Number
609-412-4644
Fax Number
609-593-6061
Primary Taxonomy
Registered Nurse, Hemodialysis · 163WH0500X
Sole Proprietor
Yes
Provider Enumeration Date
October 24, 2023
Last Update Date
October 24, 2023
Certification Date
October 24, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
427 W Herschel St
Egg Harbor City, NJ 08215-3512
Zip
08215-3512
Phone Number
609-412-4644
Fax Number
609-593-6061
Egg Harbor City, NJ 08215Get directions →

Provider Business Mailing Address Details

Address
427 W Herschel St
Egg Harbor City, NJ 08215-3512
City
Egg Harbor City
State
NJ
Zip
08215-3512
Phone Number
609-412-4644
Fax Number
609-593-6061

License Information

License Number (1)
26NR25160900
License State (1)
NJ
Taxonomy (1)
Registered Nurse, Dialysis, Peritoneal · 163WD1100X
License Number (2)
26NR25160900
License State (2)
NJ
Taxonomy (2)
Registered Nurse, Home Health · 163WH0200X
License Number (3)
26NR25160900
License State (3)
NJ
Taxonomy (3)
Registered Nurse, Infusion Therapy · 163WI0500X
License Number (4)
26NR25160900
License State (4)
NJ
Taxonomy (4)
Registered Nurse, Nephrology · 163WN0300X
License Number (5)
26NR25160900
License State (5)
NJ
Taxonomy (5)
Registered Nurse, Hemodialysis · 163WH0500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Charisse Sheeny Gervacio, RN?

The NPI number of Charisse Sheeny Gervacio, RN is 1902678808. It was assigned on October 24, 2023 and is currently active in the NPPES registry.

What is the specialty of Charisse Sheeny Gervacio, RN?

Charisse Sheeny Gervacio, RN is registered under the primary taxonomy Registered Nurse, Hemodialysis (code 163WH0500X), licensed in NJ under license number 26NR25160900.

Where does Charisse Sheeny Gervacio, RN practice?

The practice location is 427 W Herschel St, Egg Harbor City, NJ 08215-3512. The office can be reached at 609-412-4644 (phone) or 609-593-6061 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902678808 directly on the NPPES registry website.

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