# DEBRA LANOUETTE CRNP-PMH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255094819
- **Authorized official:** JENNIFER SUNDAY (OFFICE MANAGER)
- **Authorized official phone:** (301) 788-2427

## Contact information

- **Practice address:** 12920 TRIADELPHIA RD, ELLICOTT CITY, MD 21042-1122
- **Practice address phone:** (410) 979-3610
- **Mailing address:** 12920 TRIADELPHIA RD, ELLICOTT CITY, MD 21042-1122
- **Mailing address phone:** (410) 979-3610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2021
- **Last updated:** 10/20/2021