Healthcare Provider Details

I. General information

NPI: 1760092175
Provider Name (Legal Business Name): ASHLEY DOZIER WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2020
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 UPPER CHESAPEAKE DR
BEL AIR MD
21014-4328
US

IV. Provider business mailing address

510 UPPER CHESAPEAKE DR
BEL AIR MD
21014-4328
US

V. Phone/Fax

Practice location:
  • Phone: 443-643-4530
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberR204925
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: