Healthcare Provider Details

I. General information

NPI: 1265050645
Provider Name (Legal Business Name): OLIVIA EVE BROWNLEY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2020
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7801 YORK RD STE 350
TOWSON MD
21204-7446
US

IV. Provider business mailing address

7801 YORK RD STE 350
TOWSON MD
21204-7446
US

V. Phone/Fax

Practice location:
  • Phone: 410-583-5677
  • Fax: 410-583-5680
Mailing address:
  • Phone: 410-583-5677
  • Fax: 410-583-5680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC0007822
License Number StateMD
# 2
Primary TaxonomyN
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: