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NICOLE ALYSSA DESHAIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7211 BANK CT, FREDERICK, MD 21703-8483
(240) 215-6310
(240) 566-7754
Mailing address
1 FREDERICK HEALTH WAY, FREDERICK, MD 21701-9435
(240) 215-6310

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0103565
MD
208600000X
Surgery Physician
MD484637
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16129183
CAQH
Enumeration date
04/01/2019
Last updated
08/13/2025
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