Provider Demographics
NPI:1114081288
Name:MCLEAN, GAIL BISER (CRNP)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:BISER
Last Name:MCLEAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 N CHARLES ST
Mailing Address - Street 2:JOHNS HOPKINS STUDENT HEALTH AMR 2
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2608
Mailing Address - Country:US
Mailing Address - Phone:410-516-8270
Mailing Address - Fax:410-516-4784
Practice Address - Street 1:3400 N CHARLES ST
Practice Address - Street 2:JOHNS HOPKINS STUDENT HEALTH AMR 2
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2608
Practice Address - Country:US
Practice Address - Phone:410-516-8270
Practice Address - Fax:410-516-4784
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR059097363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health