Healthcare Provider Details

I. General information

NPI: 1750539375
Provider Name (Legal Business Name): ANGELA DENISE DREWNIAK CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA DENISE JANZ

II. Dates (important events)

Enumeration Date: 09/08/2008
Last Update Date: 05/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10710 CHARTER DR SUITE 240
COLUMBIA MD
21044-3128
US

IV. Provider business mailing address

10710 CHARTER DR SUITE 240
COLUMBIA MD
21044-3128
US

V. Phone/Fax

Practice location:
  • Phone: 410-997-7246
  • Fax: 410-997-7226
Mailing address:
  • Phone: 410-997-7246
  • Fax: 410-997-7226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberR182009
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: