Healthcare Provider Details

I. General information

NPI: 1477188241
Provider Name (Legal Business Name): BADRIYA YASMEEN DOWE CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2020
Last Update Date: 05/17/2022
Certification Date: 05/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3510 OLD WASHINGTON RD STE 200
WALDORF MD
20602-3235
US

IV. Provider business mailing address

545 FLORIDA AVE NW
WASHINGTON DC
20001-1850
US

V. Phone/Fax

Practice location:
  • Phone: 301-861-3660
  • Fax:
Mailing address:
  • Phone: 202-520-0570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR241498
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR241498
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: