Individual provider · Type 1 NPI

Joseph Edward Gengarelly, APRN

Nurse Practitioner · Melbourne, FL

NPI number 1407753569 Active

Practice location

1350 Hickory St
Melbourne, FL 32901-3224

Mailing address

2627 W Eau Gallie Blvd Ste 101
Melbourne, FL 32935-8303

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11051321 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1407753569

Joseph Edward Gengarelly, APRN's National Provider Identifier is 1407753569, issued on Oct 22, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Melbourne, FL. The record was last updated on Oct 22, 2026.