Healthcare Provider Details

I. General information

NPI: 1467015560
Provider Name (Legal Business Name): DAWN MARIE DRURY FNP-BC, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2019
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23415 THREE NOTCH RD 2051
CALIFORNIA MD
20619-4018
US

IV. Provider business mailing address

24035 THREE NOTCH RD
HOLLYWOOD MD
20636-4871
US

V. Phone/Fax

Practice location:
  • Phone: 301-373-7800
  • Fax: 301-373-6800
Mailing address:
  • Phone: 301-373-7900
  • Fax: 301-373-6900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR216771
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: