Provider Demographics
NPI:1629890470
Name:ALBINO, GINGER RAE (AGPCNP- BC)
Entity type:Individual
Prefix:
First Name:GINGER
Middle Name:RAE
Last Name:ALBINO
Suffix:
Gender:F
Credentials:AGPCNP- BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10365 PRESTWICK RD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-4401
Mailing Address - Country:US
Mailing Address - Phone:561-260-5510
Mailing Address - Fax:
Practice Address - Street 1:10365 PRESTWICK RD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-4401
Practice Address - Country:US
Practice Address - Phone:561-260-5510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-31
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11036260363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health