Individual
CRYSTAL N DEBEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2850 N RIDGE RD STE 102, ELLICOTT CITY, MD 21043-3396
(240) 462-8872
Mailing address
2850 N RIDGE RD STE 102, ELLICOTT CITY, MD 21043-3396
(410) 418-8550
(410) 418-8552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R218459
MD
Other
Enumeration date
02/10/2021
Last updated
06/22/2021
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