Individual
MRS. DEEPA ABHILASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
505 E MAIN ST, SALISBURY, MD 21804-5020
(410) 341-3420
(410) 341-3397
Mailing address
8558 SHADOW LN, DELMAR, MD 21875-2562
(516) 263-4729
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
LG-0001421
DE
363LF0000X
Family Nurse Practitioner
LG-0001421
DE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R176640
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LG-0001421
FAMILY NURSE PREACTIONER LICENSE NO:
DE
01
—
R176640
CRNP-PMH LICENSE
MD
Enumeration date
04/09/2020
Last updated
04/10/2024
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