Individual
TUSHANA FOWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 740-7890
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R202407
MD
367500000X
Certified Registered Nurse Anesthetist
CRNA1039787
DC
Other
Enumeration date
01/09/2015
Last updated
04/15/2025
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