Individual
MRS. MANISHA GONSALVES DURKEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7501 SURRATTS RD, SUITE 208, CLINTON, MD 20735-3362
(301) 877-7353
(301) 877-5637
Mailing address
7501 SURRATTS RD, SUITE 208, CLINTON, MD 20735-3362
(301) 877-7353
(301) 877-5637
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
17027
TN
363LF0000X
Family Nurse Practitioner
Primary
AC001603
MD
363LF0000X
Family Nurse Practitioner
RN1038868
DC
Other
Enumeration date
09/26/2012
Last updated
08/14/2023
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