Individual
EILEEN GEMMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3110 GRACEFIELD RD, SILVER SPRING, MD 20904
(301) 572-8340
(301) 572-8403
Mailing address
5525 RESEARCH PARK DR FL 4, BALTIMORE, MD 21228-4873
(301) 572-8340
(301) 572-8403
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R158667
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036
CAREFIRST
—
01
—
262573538002
TRICARE - EMPLOYEE HEALTH
—
05
—
403206300
—
MD
01
—
52-2096682
TRICARE NORTH
—
01
—
62119701
BCBS OF MD
MD
01
—
8301559
EVERCARE
—
Enumeration date
06/21/2006
Last updated
08/30/2018
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