Provider Demographics
NPI:1275507261
Name:ARTIS-TROWER, ATLENER (MD)
Entity Type:Individual
Prefix:
First Name:ATLENER
Middle Name:
Last Name:ARTIS-TROWER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 87
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20768-0087
Mailing Address - Country:US
Mailing Address - Phone:301-441-3722
Mailing Address - Fax:301-441-2774
Practice Address - Street 1:6201 GREENBELT RD STE M7
Practice Address - Street 2:
Practice Address - City:BERWYN HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20740-2358
Practice Address - Country:US
Practice Address - Phone:301-441-3722
Practice Address - Fax:301-441-2774
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0052015207Q00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD64271101Medicaid
C88142Medicare UPIN
MD64271101Medicaid