Provider Demographics
NPI:1649778945
Name:GIBEILY, MARYANN SINNOTT (CRNP)
Entity Type:Individual
Prefix:
First Name:MARYANN
Middle Name:SINNOTT
Last Name:GIBEILY
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 1:1608 WINDING WAYE LN
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-1456
Mailing Address - Country:US
Mailing Address - Phone:301-275-5469
Mailing Address - Fax:
Practice Address - Street 1:7943 BROCK BRIDGE RD
Practice Address - Street 2:
Practice Address - City:JESSUP
Practice Address - State:MD
Practice Address - Zip Code:20794-9704
Practice Address - Country:US
Practice Address - Phone:410-379-7870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-01
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR115602363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health