Individual
CHARLEEN GONDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
29 BROAD ST STE 202A, BERLIN, MD 21811-1054
(908) 418-3234
Mailing address
8500 COASTAL HWY UNIT 906, OCEAN CITY, MD 21842-7744
(908) 418-3234
(908) 418-3234
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP018746
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103524982
—
PA
Enumeration date
05/22/2018
Last updated
05/27/2025
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