| Doctor Name: | MRS. GLORIA PEITHMAN |
| NPI Number: | 1255568390 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | R080091 |
| Business Practice Address: | 100 Brown St Chestertown, MD - 216201435 |
| Business Phone Number: | 8007352258 |
| Business Fax Number: | 4107787657 |
| Mailing Address: | 115 Sallitt Dr Ste A, Stevensville, Md 21666 STEVENSVILLE |
| State: | MD |
| Postal Code: | 216662156 |
| Phone Number: | 4106438000 |
| Fax Number: | 4106438006 |
| NPI Enumeration Date: | 06/16/2009 |
| NPI Last Update Date: | 06/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | R080091 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |