Individual
DEBORAH DAVENPORT PEARCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
12073 TECH RD STE B, SILVER SPRING, MD 20904-7874
(301) 593-1315
(301) 681-4699
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 215-6310
(240) 439-8910
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R192801
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12015282
CAQH
MD
Enumeration date
06/26/2009
Last updated
11/03/2023
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