Provider Demographics
NPI:1710184189
Name:GUNN, PATRICIA J (CRNP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:J
Last Name:GUNN
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 1:1509 OYSTER COVE DR
Mailing Address - Street 2:
Mailing Address - City:GRASONVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21638-1095
Mailing Address - Country:US
Mailing Address - Phone:410-827-0369
Mailing Address - Fax:
Practice Address - Street 1:300 WASHINGTON AVENUE
Practice Address - Street 2:WASHINGTON COLLEGE HEALTH SERVICES
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-1197
Practice Address - Country:US
Practice Address - Phone:410-778-7261
Practice Address - Fax:410-810-7101
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR145514363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health