Individual
LAURA C NIEWENHOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
134 OWENSVILLE RD, WEST RIVER, MD 20778-9998
(410) 867-4700
(410) 867-4934
Mailing address
1505 STONELEIGH CT, HUNTINGTOWN, MD 20639-9751
(301) 494-0874
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R062554
MD
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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