Individual
DEBRA DIANE SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP FNP-C FNP-BC
Contact information
Practice address
12113 DOVE CIR, LAUREL, MD 20708-3131
(240) 354-7455
Mailing address
12113 DOVE CIR, LAUREL, MD 20708-3131
(240) 354-7455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R157274
MD
363LF0000X
Family Nurse Practitioner
Primary
R157274
MD
Other
Enumeration date
06/11/2025
Last updated
08/19/2025
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