Healthcare Provider Details

I. General information

NPI: 1952695793
Provider Name (Legal Business Name): VALERIE N OWINGS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2011
Last Update Date: 05/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 MITCHELLS CHANCE RD STE 180
EDGEWATER MD
21037
US

IV. Provider business mailing address

9910 FRANKLIN SQUARE DR STE 2110
BALTIMORE MD
21236-4902
US

V. Phone/Fax

Practice location:
  • Phone: 410-224-8220
  • Fax:
Mailing address:
  • Phone: 410-933-5412
  • Fax: 717-544-4149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD77043
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: