Nora Sullivan Gleason, CRNP | |
301 Saint Paul St Ste 519, Baltimore, MD 21202-2102 | |
(301) 642-4772 | |
Not Available |
Full Name | Nora Sullivan Gleason |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 301 Saint Paul St Ste 519, Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609588854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R197561 (Maryland) | Primary |
Entity Name | Maryland Family Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718256 PECOS PAC ID: 5092629394 Enrollment ID: O20031119000273 |
Mailing Address | Practice Location Address |
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Nora Sullivan Gleason, CRNP 726 S Decker Ave, Baltimore, MD 21224-3945 Ph: (301) 642-4772 | Nora Sullivan Gleason, CRNP 301 Saint Paul St Ste 519, Baltimore, MD 21202-2102 Ph: (301) 642-4772 |
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Kamishia Latasha Thomas, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline Street, Baltimore, MD 21264 Phone: 443-997-0270 Fax: 410-614-1168 | |
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