Individual
MARY GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MARY GLEASON, FNP-BC
Contact information
Practice address
5255 LOUGHBORO RD NW, SIBLEY MEMORIAL HOSPITAL - PAIN CENTER, WASHINGTON, DC 20016-2633
(202) 537-4589
Mailing address
5255 LOUGHBORO RD NW, SIBLEY MEMORIAL HOSPITAL - PAIN CENTER, WASHINGTON, DC 20016-2633
(202) 537-4589
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001209828
VA
163W00000X
Registered Nurse
RN1006509
DC
163WX0200X
Oncology Registered Nurse
AC000760
MD
363LF0000X
Family Nurse Practitioner
AC000760
MD
363LF0000X
Family Nurse Practitioner
Primary
RN1006509
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036182800
—
MD
Enumeration date
01/11/2010
Last updated
01/27/2012
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