Provider Demographics
NPI:1528155975
Name:GOULD, PATRICIA ANN (NP)
Entity type:Individual
Prefix:MISS
First Name:PATRICIA
Middle Name:ANN
Last Name:GOULD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:2229 VAILTHORN RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21220-4936
Mailing Address - Country:US
Mailing Address - Phone:410-687-3534
Mailing Address - Fax:410-887-0265
Practice Address - Street 1:9100 FRANKLIN SQUARE DR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-3903
Practice Address - Country:US
Practice Address - Phone:410-887-3725
Practice Address - Fax:410-887-8473
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDR043449363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology