Healthcare Provider Details

I. General information

NPI: 1326973389
Provider Name (Legal Business Name): MISS GLORIA GYAMFI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8118 GOOD LUCK RD
LANHAM MD
20706-3574
US

IV. Provider business mailing address

14304 STROUD CT
LAUREL MD
20707-9502
US

V. Phone/Fax

Practice location:
  • Phone: 240-713-0176
  • Fax:
Mailing address:
  • Phone: 240-713-0176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR168035
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: