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Individual

MS. DEBRA WELLS THAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
100 IRVING ST NW # 4131, WASHINGTON, DC 20010-3017
(202) 877-8946
(202) 877-6775
Mailing address
6525 BELCREST RD, SUITE 700, HYATTSVILLE, MD 20782-2003
(301) 560-2944
(301) 560-2945

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN43659
DC
363LA2200X
Adult Health Nurse Practitioner
AC000217
MD
363LF0000X
Family Nurse Practitioner
0024071247
VA

Other

Enumeration date
06/16/2006
Last updated
04/16/2018
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