Individual
MS. GAYLE MARIE BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC. FNP-BC
Contact information
Practice address
14707 OLD HANOVER RD, BORING, MD 21020-1000
(410) 812-2342
Mailing address
15272 DOVER RD, REISTERSTOWN, MD 21136-3882
(410) 812-2342
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R201227
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R201227
MD
Other
Enumeration date
06/26/2017
Last updated
03/13/2025
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