Individual
ELLEN MARIE TOWNLEY O'GARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7809 WISCONSIN AVE, MINUTE CLINIC, BETHESDA, MD 20814-3523
(301) 986-9144
Mailing address
5100 DORSET AVE, 405, CHEVY CHASE, MD 20815-5465
(202) 486-8773
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN67863
DC
363LF0000X
Family Nurse Practitioner
Primary
R115629
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003103800
—
MD
05
—
025775300
—
DC
Enumeration date
05/12/2006
Last updated
07/21/2011
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