Provider Demographics
NPI:1730759184
Name:CIRINO, KIM (DNP FNP-BC)
Entity type:Individual
Prefix:
First Name:KIM
Middle Name:
Last Name:CIRINO
Suffix:
Gender:F
Credentials:DNP FNP-BC
Other - Prefix:
Other - First Name:KIM
Other - Middle Name:
Other - Last Name:PO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:361 EGE AVE # 1
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-1014
Mailing Address - Country:US
Mailing Address - Phone:201-725-5250
Mailing Address - Fax:
Practice Address - Street 1:385 TREMONT AVE
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1023
Practice Address - Country:US
Practice Address - Phone:973-676-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01165500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily