Most Relevant Information
Provider Data
| NPI Number: | 1003311630 |
| Provider Name: | MESSANVI M GOZO CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | R215546 |
Most Important Dates
| Enumeration Date: | 03/26/2018 |
| Last Updated: | 05/24/2019 |
Provider Practice Location
610 DUTCHMANS LN
EASTON
MD
216013346
Practice Location Phone/Fax
| Phone: | 4105482343 |
| Fax: | 8443323891 |
Provider Mailing Location
811 MIDDLE RIVER RD
MIDDLE RIVER
MD
212203766
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |