Orfan, Gwendolyn
Orfan, Gwendolyn is an individual health care provider with primary practice located at 11110 Medical Campus Rd Ste 108 , Hagerstown MD 21742. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Orfan, Gwendolyn can be contacted via phone (301) 714-4041.Contact Information
Primary practice address
11110 Medical Campus Rd Ste 108
Hagerstown MD 21742
Phone: (301) 714-4041
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | SP021386 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R150412 | Maryland |
Profile Details
| NPI number | 1538538871 |
|---|---|
| LBN Legal business name | Orfan, Gwendolyn |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2015 |
| Last updated | Oct 18th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538538871 | NPPES |
| Pennsylvania | MEDICAID | 103746416 |
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