Organization
DEBRA LANOUETTE CRNP-PMH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SUNDAY (OFFICE MANAGER)
(301) 788-2427
Entity
Organization
Contact information
Practice address
12920 TRIADELPHIA RD, ELLICOTT CITY, MD 21042-1122
(410) 979-3610
Mailing address
12920 TRIADELPHIA RD, ELLICOTT CITY, MD 21042-1122
(410) 979-3610
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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