Individual
MS. SUSAN RENEE GISCOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
200 MEMORIAL AVE, WESTMINSTER, MD 21157-5726
(410) 871-6111
Mailing address
PO BOX 900, WESTMINSTER, MD 21158-0900
(410) 871-6111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R176433
MD
Other
Enumeration date
02/02/2011
Last updated
08/17/2015
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