Individual
MICHELLE GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7300 HANOVER DR STE 201, GREENBELT, MD 20770-2247
(301) 345-5600
Mailing address
8087 ARMIGER DR, PASADENA, MD 21122-1262
(805) 813-9777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R227973
MD
163WU0100X
Urology Registered Nurse
R227973
MD
363LF0000X
Family Nurse Practitioner
Primary
R227973
MD
Other
Enumeration date
03/17/2021
Last updated
07/02/2021
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