Individual
ANGELA V GIMOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
3300 BRIGGS CHANEY RD, SILVER SPRING, MD 20904-4811
(301) 493-2400
(240) 235-7075
Mailing address
7604 HEARTHSIDE WAY UNIT 1036, ELKRIDGE, MD 21075-7365
(443) 858-8126
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R197579
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F07171190
CERTIFICATION NUMBER
MD
01
—
R197579
LISENCE NUMBER
MD
Enumeration date
10/10/2017
Last updated
07/08/2021
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