ELIZABETH CUSTODIO BOWERY


Address: 611 S Charles St, Fourth Floor, Baltimore, MD 21230-3801
Phone: 4103282293

ELIZABETH CUSTODIO BOWERY (NPI# 1962659557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962659557
Entity Type Individual
Full Name ELIZABETH CUSTODIO BOWERY
Practice Address 611 S Charles St
Fourth Floor
Baltimore
MD 21230-3801
Mailing Address 701 W Pratt St
Third Floor Room 357
Baltimore
MD 21201-1023
Practice Telephone 4103282293
Practice Fax Number 4103285895
Mailing Telephone 4103287037
Mailing Fax Number 4103283311
Enumeration Date 2008-08-26
Last Update Date 2008-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 611 S CHARLES ST
FOURTH FLOOR
City BALTIMORE
State MD
Zip Code 21230-3801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487662243 Independent Dialysis Foundation, Inc Clinic/Center 611 S Charles St, Baltimore, MD 21230-3801 2006-08-04
1821348608 Melanie L Ervin Registered Nurse 611 S Charles St, Carruthers Clinic, Baltimore, MD 21230-3801 2012-09-19
1871887679 Carrie H Etheridge Social Worker 611 S Charles St, Baltimore, MD 21230-3801 2011-06-09
1306130117 University of Maryland Medical Center Social Worker 611 S Charles St, Suite 4, Baltimore, MD 21230-3801 2011-06-09
1437488103 Shawna Denise Brown Social Worker 611 S Charles St, 4th Floor, Baltimore, MD 21230-3801 2009-12-09
1841453339 Kristan Halaiko Social Worker 611 S Charles St, Fourth Floor, Baltimore, MD 21230-3801 2008-07-07
1275744351 Carole M Booth Psychologist 611 S Charles St, Fourth Floor, Baltimore, MD 21230-3801 2007-05-24
1093924565 Elliot L Hong Psychologist 611 S Charles St, Fourth Floor, Baltimore, MD 21230-3801 2007-05-22
1215946041 Renee Lynn Watters Social Worker 611 S Charles St, Baltimore, MD 21230-3801 2006-08-08
1992714893 Stepahnie Christine Boudreau Social Worker 611 S Charles St, Baltimore, MD 21230-3801 2006-08-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235739558 Margaret Webb Registered Nurse Medstar Health, 1420 Key Highway, Baltimore, MD 21230 2020-10-27
1497381263 Hawkes Counseling Services Counselor 837 Washington Blvd, Suite B, Baltimore, MD 21230 2020-03-12
1821570011 Lisa Le Social Worker 1623 Covington St, Baltimore, MD 21230 2018-09-04
1396237673 Kinderhealth, LLC Nurse Practitioner 10 W West St, Baltimore, MD 21230 2018-06-03
1144745068 Charles Billingsley Counselor 909 W Barre St, Baltimore, MD 21230 2017-08-11
1447791058 Elizabeth Richmond Nurse Practitioner 2 East Wells Apt 179, Baltimore, MD 21230 2017-03-15
1952775389 Courtney Schwalbe Speech-Language Pathologist 600 S Paca Street, Baltimore, MD 21230 2015-11-23
1093071920 Glass Health Programs, Inc Clinic/Center 1801 Cherry Hill Rd, Baltimore, MD 21230 2012-04-04
1487937512 Harris Teeter, LLC Pharmacy 1801 Whetstone Way, Baltimore, MD 21230 2011-09-26
1487980280 Ife A Thompson Physician Assistant 601 S. Charles Street, Baltimore, MD 21230 2009-10-29
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497355879 Cristina Diana Ghinda Student in an Organized Health Care Education/Training Program 600 N Wolfe St Bldg 8, Baltimore, MD 21287-0005 2020-10-27
1265043160 Kathryn Ann Ritchie Student in an Organized Health Care Education/Training Program 1750 E Fairmount Ave Dept Of, Baltimore, MD 21231-1534 2020-08-13
1053929372 Rod Guerrero Salgado Student in an Organized Health Care Education/Training Program 140 N Luzerne Ave, Baltimore, MD 21224-1147 2020-07-22
1518585470 Meshref Ayed Alshehri Student in an Organized Health Care Education/Training Program 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 2020-07-08
1174140503 Thomas Dimitrios Zaikos Student in an Organized Health Care Education/Training Program Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 2020-07-01
1649897158 Michael William Mikula Student in an Organized Health Care Education/Training Program Pathology Bldg., Rm. 401, 600 N Wolfe St, Baltimore, MD 21287-0005 2020-06-30
1154948743 Kamilah S Brown Student in an Organized Health Care Education/Training Program 437 E Lorraine Ave, Baltimore, MD 21218-4713 2020-06-29
1306462411 Michael Julian Wong Student in an Organized Health Care Education/Training Program University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 2020-06-24
1467077479 Nashedra Barry Student in an Organized Health Care Education/Training Program 301 N Charles St Apt M1, Baltimore, MD 21201-4397 2020-06-15
1205451804 Ryan Robert Keoni Ingle Student in an Organized Health Care Education/Training Program 29 S Greene St Ste 400, Baltimore, MD 21201-1504 2020-06-10
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Competitor

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City BALTIMORE
Zip Code 21230

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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