Provider Demographics
NPI:1861497166
Name:GUN, JOYCE ANNE (CRNP, RN)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:ANNE
Last Name:GUN
Suffix:
Gender:F
Credentials:CRNP, RN
Other - Prefix:MS
Other - First Name:JOYCE
Other - Middle Name:ANNE
Other - Last Name:SHARP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP, RN
Mailing Address - Street 1:900 RITCHIE HWY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-4142
Mailing Address - Country:US
Mailing Address - Phone:410-245-8812
Mailing Address - Fax:410-315-7818
Practice Address - Street 1:421 FALLSWAY
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-4800
Practice Address - Country:US
Practice Address - Phone:410-837-5533
Practice Address - Fax:410-837-8020
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2015-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR086738363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner