Individual
MS. DEBORAH MAURI VAN DER WATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
WALTER REED ARMY MEDICAL CTR, 6900 GEORGIA AVENUE NW, WASHINGTON, DC 20307-0001
(202) 782-1181
Mailing address
9320 CEDAR LN, BETHESDA, MD 20814-3935
(301) 564-0469
(610) 661-3406
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP007298
PA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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