Individual
GRETCHEN MAANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
219 S WASHINGTON ST, EASTON, MD 21601-2913
(410) 822-1000
Mailing address
219 S WASHINGTON ST, EASTON, MD 21601-2913
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R211824
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F03180230
NATIONAL CERTIFICATION NUMBER
MD
01
—
R211824
STATE LICENSE NUMBER
MD
Enumeration date
03/17/2018
Last updated
06/16/2018
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