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Individual

GINA GRINSTEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
550 N BROADWAY STE 305G, BALTIMORE, MD 21205-2004
(410) 955-1481
Mailing address
550 N BROADWAY STE 305G, BALTIMORE, MD 21205-2004

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R200835
MD
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/22/2018
Last updated
11/07/2023
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