Healthcare Provider Details

I. General information

NPI: 1346199049
Provider Name (Legal Business Name): MS. CASEY JANE DULEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 SOLOMONS ISLAND RD
EDGEWATER MD
21037-1102
US

IV. Provider business mailing address

2600 SOLOMONS ISLAND RD
EDGEWATER MD
21037-1102
US

V. Phone/Fax

Practice location:
  • Phone: 443-433-5900
  • Fax: 443-433-5901
Mailing address:
  • Phone: 443-433-5900
  • Fax: 443-433-5901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: