Organization
DEBORAH C. GOOTEE CRNP-PMH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH C GOOTEE CRNP-PMH (SOLE MEMBER)
(410) 745-5595
Entity
Organization
Contact information
Practice address
103 EAST CHESTNUT STREET, SAINT MICHAELS, MD 21663
(410) 745-5595
(410) 745-5855
Mailing address
PO BOX 1264, SAINT MICHAELS, MD 21663-1264
(410) 745-5595
(410) 745-5855
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R053273
MD
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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