Individual
DENESE GAUGHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1838 GREENE TREE RD, STE 400, BALTIMORE, MD 21208-6391
(410) 602-7782
(410) 602-2438
Mailing address
1838 GREENE TREE RD, STE 400, BALTIMORE, MD 21208-6391
(410) 602-7782
(410) 602-2438
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R118645
MD
Other
Enumeration date
09/27/2005
Last updated
07/08/2007
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