Individual provider · Type 1 NPI

Shannon Olexa-Fowler, CRNP

Adult Health Nurse Practitioner · Prince Frederick, MD

NPI number 1336057595 Active

Practice location

985 Prince Frederick Blvd
Prince Frederick, MD 20678-3128

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XR239349 (MD)

Adult Health Nurse Practitioner: Definition to come...

12 other providers at this address

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About NPI 1336057595

Shannon Olexa-Fowler, CRNP's National Provider Identifier is 1336057595, issued on Aug 31, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Prince Frederick, MD. The record was last updated on Oct 26, 2026.