Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | R038325 | MD |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | R038325 | MD |
NPI | 1003955774 |
---|---|
Provider Name | Faye L Koerner |
First Address | Westminster, MD 21157 |
Second Address | Westminster, MD 21157-5228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 03/03/2015 |