Provider Demographics
NPI:1649087875
Name:ERAUDA, GERALDINE ELEMINO (RN)
Entity type:Individual
Prefix:MRS
First Name:GERALDINE
Middle Name:ELEMINO
Last Name:ERAUDA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:GERALDINE
Other - Middle Name:ELEMINO
Other - Last Name:ERAUDA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:338 CORBIN CT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-7468
Mailing Address - Country:US
Mailing Address - Phone:732-995-1726
Mailing Address - Fax:
Practice Address - Street 1:4547 US HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-3382
Practice Address - Country:US
Practice Address - Phone:718-363-3939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR25087500163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse