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Individual

SUSAN P GORSCHBOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP AGPCNP-BC/C

Contact information

Practice address
3401 BOX HILL CORPORATE CENTER DR STE 100, ABINGDON, MD 21009-1251
(410) 671-0017
Mailing address
3401 BOX HILL CORPORATE CENTER DR STE 100, ABINGDON, MD 21009-1251
(410) 671-0017

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R122278
MD
363L00000X
Nurse Practitioner
LP-0000319
DE
363LA2200X
Adult Health Nurse Practitioner
LP-0000319
DE
363LP2300X
Primary Care Nurse Practitioner
Primary
R122278
MD

Other

Enumeration date
07/24/2019
Last updated
01/22/2021
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