Individual
NOVLET MARVALYN FENWICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
23 CROSSROADS DR, OWINGS MILLS, MD 21117-5420
(410) 356-0300
Mailing address
10400 CASCADE FALLS CT, OWINGS MILLS, MD 21117-5843
(410) 654-4602
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R117966
MD
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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