Individual provider · Type 1 NPI
Lydia Gugsa, CRNP
Psychiatric/Mental Health Nurse Practitioner · Baltimore, MD
NPI number
1275948622
Active
Practice location
1004 S Clinton St
Baltimore, MD 21224-5026
Mailing address
12203 Connecticut Ave
Silver Spring, MD 20902-1024
Other practice locations
- 1800 N Charles St Ste 900, Baltimore, MD 21201-5987 · (443) 300-6705
- 2811 Pennsylvania Ave SE, Washington, DC 20020-3865 · (202) 894-6811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN1025079 (DC) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R197771 (MD) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP1025079 (DC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1275948622
Lydia Gugsa, CRNP's National Provider Identifier is 1275948622, issued on Jun 24, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Baltimore, MD. The record was last updated on Mar 4, 2024.