Individual
GENA KOSMIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-PMHNP
Contact information
Practice address
175 HARRY S TRUMAN PKWY, ANNAPOLIS, MD 21401-7573
(667) 204-7300
Mailing address
615 EDWARDS RD, ANNAPOLIS, MD 21409-6021
(301) 697-1153
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R178861
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
09/27/2022
Last updated
09/27/2022
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