Individual
GINA MADRIGAL ANCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
511 IDLEWILD AVE, EASTON, MD 21601-3888
(410) 822-6005
Mailing address
321 CHOPTANK AVE, EASTON, MD 21601-4045
(443) 362-0294
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R165927
MD
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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