Individual
ELIZABETH HIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10210 REISTERSTOWN RD, OWINGS MILLS, MD 21117-3606
(410) 902-6776
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0005822
MD
363AM0700X
Medical Physician Assistant
C05822
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115315300
—
MD
Enumeration date
07/17/2015
Last updated
09/14/2022
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