Gladys Folayan

Individual provider Active NPI Registered Nurse · Springdale, MD

NPI 1285069138 · NPPES record last updated Sep 11, 2013

Key facts

NPI
1285069138
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN1029603 (DC)
Practice address
3410 Manderes PL
Springdale, MD 20774-2526
Phone
(301) 773-4363
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN1029603DCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gracious Nursing Care Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1029603 DC Yes

Addresses

Primary practice location

3410 Manderes PL
Springdale, MD 20774-2526

Mailing address

3410 Manderes PL
Springdale, MD 20774-2526
Phone (301) 773-4363

Other providers in Springdale, MD

All providers in Springdale, MD · Registered Nurse in Maryland

Sources for this page

Verify at the official NPI Registry.