Individual
GIMMIE VALLANGCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
NP2000299
DC
363LA2100X
Acute Care Nurse Practitioner
Primary
R206774
MD
Other
Enumeration date
03/02/2021
Last updated
11/30/2022
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