Individual
MRS. GRACE D EMASEALU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
28 TOLLGATE RD, OWINGS MILLS, MD 21117-3348
(832) 434-8900
Mailing address
28 TOLLGATE RD, OWINGS MILLS, MD 21117-3348
(832) 434-8900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R181471
MD
363LA2200X
Adult Health Nurse Practitioner
R181471
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R181471
MD
Other
Enumeration date
11/26/2010
Last updated
08/25/2024
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