Individual
MISS GABRIELLA ANNA FORTUNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1407 YORK RD STE 309, LUTHERVILLE, MD 21093-6054
(410) 427-5410
Mailing address
1930 THOMAS RUN CIR, BEL AIR, MD 21015-1581
(443) 903-0793
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R211732
MD
363LA2200X
Adult Health Nurse Practitioner
R211732
MD
363LG0600X
Gerontology Nurse Practitioner
R211732
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
R211732
MD
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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