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GLORIA PAK CPNP
NPI 1659891042
Nurse Practitioner - Pediatrics in Laurel, MD

Active since June 27, 2017
805 WASHINGTON BLVD S, LAUREL, MD 20707(301) 686-5437 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2025, Apr 11, 2018, Jun 27, 2017 (3 updates tracked since 2017).

About Gloria Pak Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLORIA PAK CPNP (NPI 1659891042) is an individual pediatrics provider in Laurel, Maryland, licensed in Maryland (R270128) and active in the NPI registry since June 2017. She maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1659891042
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameGLORIA PAKCredential: CPNP
Location Address805 WASHINGTON BLVD SLaurel, MD 20707-4611
Mailing Address6449 Richardson Farm LnClarksville, MD 21029-1297 · (443) 812-3986
Phone(301) 686-5437
Sole ProprietorNo
Enumeration DateJune 27, 2017
Last NPPES UpdateFebruary 18, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1659891042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in MD · R270128✔ Licensed in NY · 382836
Also ListedRegistered NurseTaxonomy 163W00000X · License 713794 (NY), R270128 (MD)
805 WASHINGTON BLVD S, Laurel, MD 20707
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Secondary Practice Location 1

Location 11065 Southern BlvdBronx, NY 10459-2417 · Phone (718) 589-2440

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STANLEY MCCLELLAN SINKFORD III MD
Pediatrics
805 WASHINGTON BLVD S
LAUREL, MD 20707
Prince George's County (301) 686-5437
CODY NICOLE COLLAZO CRNP-PEDIATRICS
Nurse Practitioner (Pediatrics)
805 WASHINGTON BLVD S
LAUREL, MD 20707
Prince George's County (443) 492-4000
PM PEDIATRICS OF MARYLAND LLC
Clinic/Center (Urgent Care)
805 WASHINGTON BLVD S
LAUREL, MD 20707
Prince George's County (301) 686-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gloria Pak's NPI number?

The NPI number for Gloria Pak is 1659891042. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Gloria Pak located?

Gloria Pak practices at 805 Washington Blvd S, Laurel, MD 20707. The listed phone number is (301) 686-5437.

What is Gloria Pak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Gloria Pak was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.