Healthcare Provider Details

I. General information

NPI: 1871582767
Provider Name (Legal Business Name): CHERYL ANNE GIESE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 FRANKLIN SQUARE DR
BALTIMORE MD
21237-3901
US

IV. Provider business mailing address

836 LUTHARDT RD
BALTIMORE MD
21220-2304
US

V. Phone/Fax

Practice location:
  • Phone: 443-777-7000
  • Fax: 443-777-8467
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License NumberR083037
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: