Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | R147145 | MD |
NPI | 1023556321 |
---|---|
Provider Name | Debrahe K. Rowland |
First Address | Garrison, MD 21117-4466 |
Second Address | Lutherville, MD 21093-4517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2017 |
Last Update Date | 07/02/2017 |