GINA MICHELLE HENNESSY

EXTON, PA
NPI1831428317
Former NameGINA M MASCHERINO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: PA  SP010586)
Additional Taxonomies208000000X Pediatrics
(Licence: PA  SP010586)
363L00000X Nurse Practitioner
(Licence: PA  SP010586)
363LP0200X Nurse Practitioner, Pediatrics
(Licence: DE  LJ-0000276)
Enumeration Date2009-12-14
Last Update Date2020-11-09
Business Address
GINA MICHELLE HENNESSY APRN
702 GORDON DR
EXTON, PA 19341-1253
Phone number: 610-363-1330
Mailing Address
GINA MICHELLE HENNESSY APRN
702 GORDON DR
EXTON, PA 19341-1253
Phone number: 610-363-1330