Most Relevant Information
Provider Data
| NPI Number: | 1003571092 |
| Provider Name: | DOCIA OWUSU CRNP-PMH |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | R220828 |
Most Important Dates
| Enumeration Date: | 11/03/2021 |
| Last Updated: | 11/09/2023 |
Provider Practice Location
7575 E HOWARD RD
GLEN BURNIE
MD
210608312
Practice Location Phone/Fax
| Phone: | 4107688200 |
| Fax: |
Provider Mailing Location
13842 OUTLET DR # 214
SILVER SPRING
MD
209044931
Provider Mailing Phone/Fax
| Phone: | 3014485634 |
| Fax: |