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Individual

GWENDOLYN ORFAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
11110 MEDICAL CAMPUS RD STE 108, HAGERSTOWN, MD 21742
(301) 714-4041
Mailing address
2026 WINDSONG DR, HAGERSTOWN, MD 21740-2736

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R150412
MD
363L00000X
Nurse Practitioner
SP021386
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103746416
PA
Enumeration date
09/16/2015
Last updated
10/18/2021
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