Richelle Antoynette Genco, CRNP
Nurse Practitioner, Family in Baltimore, MD. Individual provider (NPI-1).
NPI number1982122800
StatusActive
Last updated in NPPESNov 4, 2017
Details
- NPI
- 1982122800
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Richelle Antoynette Genco
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2017
- Last updated
- Nov 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R156867 | MD | Yes |
Practice location
Jhoc Outpatient601 North Caroline , 6th Floor, Room 6064
Baltimore, MD 21287
Phone 410-955-2195 · Fax 443-287-4654
Mailing address
9910 Franklin Square Dr Ste 2110Baltimore, MD 21236-4902
Phone 410-933-6423 · Fax 410-933-1390
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