Individual
MRS. BRENDA LEE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
12401 WILLOWBROOK RD, CUMBERLAND, MD 21502-2559
(301) 784-5670
(301) 784-5093
Mailing address
12401 WILLOWBROOK RD, SE, CUMBERLAND, MD 21502-2596
(301) 784-5670
(301) 784-5093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R095433
MD
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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