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Individual

GALE GENEVIEVE CROMWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
205 RIDGELY AVE, ANNAPOLIS, MD 21401
(410) 263-6910
(443) 433-0470
Mailing address
205 RIDGELY AVE, ANNAPOLIS, MD 21401-1303
(410) 263-6910
(443) 433-0470

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R076293
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78536110
MD
01
R076293
STATE LICENSE
MD
Enumeration date
01/30/2006
Last updated
01/12/2012
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