Individual
GAIL PATRICIA NUETZEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6565 N CHARLES ST, SUITE 512, TOWSON, MD 21204-6800
(410) 583-0300
(410) 583-0306
Mailing address
6565 N CHARLES ST, SUITE 512, TOWSON, MD 21204-6800
(410) 583-0300
(410) 583-0306
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R029702
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N55585
CDS LICENSE
MD
01
—
R029702
STATE LICENSE
MD
Enumeration date
05/18/2006
Last updated
03/07/2023
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