Individual
HEIDI GERONDAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
13334 CLARKSVILLE PIKE BLDG C, SUITE B, HIGHLAND, MD 20777
(301) 618-0829
Mailing address
12212 SNOWDEN WOODS RD, LAUREL, MD 20708-2496
(443) 609-2278
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
R228144
MD
163WG0000X
General Practice Registered Nurse
RN500328158
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP500328158
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R228144
MD
Other
Enumeration date
08/19/2025
Last updated
04/02/2026
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