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NPI Code Detail

MEDICARE: MS. RHONDA GALL

MEDICARE:  MS. RHONDA  GALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse PractitionerRN37148DC
2363LG0600XGerontology Nurse Practitioner0024164351VA
3363LP0808XPsychiatric/Mental Health Nurse PractitionerR065433MD
4363LG0600XGerontology Nurse PractitionerR065433MD

General Provider Information

NPI Number : 1851795868
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RHONDA GALL
Provider Business Mailing Address
First Line : 14000 JERICHO PARK RD
Second Line : CLT 208
City : BOWIE
State : MD
Zip : 20715-3319
Country : US
Telephone Number : 301-860-3216
Fax Number :
Provider Business Practice Location Address
First Line : 14000 JERICHO PARK RD
Second Line : CLT 208
City : BOWIE
State : MD
Zip : 20715-3319
Country : US
Telephone Number : 301-860-3216
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2014
Last Update Date : 03/05/2019

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