Individual
MRS. DAWN MARIE ROELOFS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C, CRNP
Contact information
Practice address
7962 COVINGTON AVE, GLEN BURNIE, MD 21061-4875
(410) 245-1806
Mailing address
7962 COVINGTON AVE, GLEN BURNIE, MD 21061-4875
(410) 245-1806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R143946
MD
163W00000X
Registered Nurse
RN1038448
DC
163W00000X
Registered Nurse
RN669051
PA
363LF0000X
Family Nurse Practitioner
Primary
R143946
MD
Other
Enumeration date
08/23/2016
Last updated
10/13/2016
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