Individual
REBECCA GUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
711 W 40TH ST STE 173, BALTIMORE, MD 21211-2147
(443) 961-1221
Mailing address
711 W 40TH ST STE 173, BALTIMORE, MD 21211-2147
(443) 961-1221
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AC002258
MD
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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