Individual
MS. SUZANNE J WINGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
655 WATKINS MILL ROAD, CARDIOLOGY, GAITHERSBURG, MD 20879
(240) 632-4000
Mailing address
2101 E JEFFERSON ST, KAISER PERMANETE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R066241
MD
363L00000X
Nurse Practitioner
RN43768
DC
Other
Enumeration date
12/12/2006
Last updated
12/06/2012
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