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Individual

DEBORAH L VAN ORDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
PO BOX 512650, PHILADELPHIA, PA 19175-2650

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R086694
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107641
AMERIGROUP
MD
01
10944
JOHNS HOPKINS HEALTH CARE
MD
01
1274932
CIGNA
MD
05
382460800
MD
01
61510701
CARE FIRST BLUE CROSS
MD
01
F551-0022
CARE FIRST BLUE CROSS
DC
Enumeration date
11/18/2005
Last updated
03/17/2010
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