Provider Demographics
NPI:1700553427
Name:PERINI, GINA M (CRNP)
Entity type:Individual
Prefix:MS
First Name:GINA
Middle Name:M
Last Name:PERINI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:
Other - Last Name:BRUNETTI PERINI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4303 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7026
Mailing Address - Country:US
Mailing Address - Phone:908-619-5606
Mailing Address - Fax:
Practice Address - Street 1:4303 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18040-7026
Practice Address - Country:US
Practice Address - Phone:908-619-5606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP023421363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health