Individual
LEANNE ANDREA GENOTA ANTIOQUIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
14300 GALLANT FOX LN STE 110, BOWIE, MD 20715-4031
(301) 262-6797
Mailing address
14300 GALLANT FOX LN STE 110, BOWIE, MD 20715-4031
(301) 262-6797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R225017
MD
Other
Enumeration date
08/26/2020
Last updated
01/18/2021
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