Basic Information
Provider Information
NPI: 1750617502
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GEPP
FirstName: ARLETTE
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: ANP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10 FOREST ST
Address2:  
City: GLEN BURNIE
State: MD
PostalCode: 210612755
CountryCode: US
TelephoneNumber: 4107683922
FaxNumber: 4107683922
Practice Location
Address1: 6095 MARSHALEE DR
Address2: STE 100
City: ELKRIDGE
State: MD
PostalCode: 210756053
CountryCode: US
TelephoneNumber: 6152245438
FaxNumber: 8552478787
Other Information
ProviderEnumerationDate: 10/29/2009
LastUpdateDate: 01/13/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XRO78731MDY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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