Individual
ANN GOWDY DOMINICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
401 BOW ST, ELKTON, MD 21921-5515
(410) 996-5100
Mailing address
401 BOW ST, ELKTON, MD 21921-5515
(410) 996-5100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0000385
DE
363LF0000X
Family Nurse Practitioner
R172719
MD
Other
Enumeration date
07/07/2006
Last updated
02/07/2024
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