Individual
DENEEN CHERISE CEPHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CMC
Contact information
Practice address
5100 AUTH WAY, SUITLAND, MD 20746-4207
(301) 702-5174
Mailing address
9029 HELMSLEY DRIVE, CLINTON, MD 20735-2995
(301) 702-5174
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RR093791
MD
163WC0400X
Case Management Registered Nurse
Primary
A021004590
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R093791
NURSING LICENSE
MD
Enumeration date
10/13/2010
Last updated
10/15/2010
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