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Individual

MRS. DEBORAH A NEEDLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1321 GENERALS HWY STE 101B, CROWNSVILLE, MD 21032-2060
(443) 837-6314
Mailing address
1557 SAINT MARGARETS RD, ANNAPOLIS, MD 21409-5554
(443) 838-5914

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R146447
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
208256
JHHC PROVIDER NUMBER
MD
05
412394800
MD
01
641281-02
CAREFIRST MD RENDERING
MD
01
7605-0090
CAREFIRST BLUECHOICE
MD
01
ZEZJ
MEDICARE GROUP
MD
Enumeration date
03/22/2006
Last updated
08/07/2019
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