Individual provider · Type 1 NPI
Dominique Gisele Guillaume, MSN, AGPCNP-BC
Adult Health Nurse Practitioner · Bowie, MD
NPI number
1780318014
Active
Practice location
4000 Mitchellville Rd Ste A406
Bowie, MD 20716-3139
Mailing address
31 N Streeper St
Baltimore, MD 21224-1250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | R215205 (MD) |
| Adult Health Nurse Practitioner | 363LA2200X | RN256248 (GA) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1780318014
Dominique Gisele Guillaume, MSN, AGPCNP-BC's National Provider Identifier is 1780318014, issued on Jul 12, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bowie, MD. The record was last updated on Jan 4, 2023.