Healthcare Provider Details

I. General information

NPI: 1821339110
Provider Name (Legal Business Name): ELIZABETH DELAHAY WOJNO CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2013
Last Update Date: 03/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18101 PRINCE PHILIP DR
OLNEY MD
20832-1514
US

IV. Provider business mailing address

PO BOX 400
OLNEY MD
20830-0400
US

V. Phone/Fax

Practice location:
  • Phone: 301-774-8618
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR197636
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: