Provider Demographics
NPI:1295403863
Name:GATTUSO, JANINE FRANCES (FNP-C)
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:FRANCES
Last Name:GATTUSO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16950 YORK RD
Mailing Address - Street 2:
Mailing Address - City:MONKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21111-1040
Mailing Address - Country:US
Mailing Address - Phone:410-357-4500
Mailing Address - Fax:410-357-4570
Practice Address - Street 1:16950 YORK RD
Practice Address - Street 2:
Practice Address - City:MONKTON
Practice Address - State:MD
Practice Address - Zip Code:21111-1040
Practice Address - Country:US
Practice Address - Phone:410-357-4500
Practice Address - Fax:410-357-4570
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR232695363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily