Individual
DR. WENDY KAYE DRYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24810 HALF PONE POINT RD, HOLLYWOOD, MD 20636-2949
(301) 514-2763
Mailing address
24810 HALF PONE POINT RD, HOLLYWOOD, MD 20636-2949
(301) 514-2763
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R164748
MD
207QA0401X
Addiction Medicine (Family Medicine) Physician
R164748
MD
208D00000X
General Practice Physician
R164748
MD
208VP0000X
Pain Medicine Physician
R164748
MD
363LF0000X
Family Nurse Practitioner
0024170671
VA
363LF0000X
Family Nurse Practitioner
Primary
R164748
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024170671
BOARD OF NURSING
VA
05
—
800088744
—
MD
01
—
N80116
MARYLAND CDS
MD
01
—
R164748
BOARD OF NURSING
MD
Enumeration date
11/29/2012
Last updated
03/07/2023
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