Individual
MRS. JOHNNILYN GISELLE KUTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, CRNP-A
Contact information
Practice address
9909 MEDICAL CENTER DR, ROCKVILLE, MD 20850-6361
(240) 864-6000
Mailing address
19905 IVORYTON PL, MONTGOMERY VILLAGE, MD 20886-4903
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
R165559
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
R165559
MD
Other
Enumeration date
07/03/2008
Last updated
04/27/2012
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