Individual
DEIDHRA PETER-THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-1803
(571) 231-6617
Mailing address
6482 OCELOT ST, WALDORF, MD 20603-4431
(240) 330-2648
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R180132
MD
363L00000X
Nurse Practitioner
Primary
R180132
MD
Other
Enumeration date
01/28/2019
Last updated
04/10/2025
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