Individual
ANGELA V GIMOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
3001 S HANOVER ST STE 520, BALTIMORE, MD 21225-1233
(443) 890-3632
(410) 554-2654
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
05/29/2026
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