Individual
GERALD GWAIN CHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN,MSN
Contact information
Practice address
5505 REISTERSTOWN RD, BALTIMORE, MD 21215-4406
(240) 467-4803
(667) 803-0305
Mailing address
9101 CRANDALL RD, LANHAM, MD 20706-1928
(240) 595-7909
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN1042932
DC
Other
Enumeration date
06/07/2019
Last updated
10/27/2025
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