Healthcare Provider Details

I. General information

NPI: 1083425961
Provider Name (Legal Business Name): DEBORAH ARMSTEAD CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2025
Last Update Date: 01/18/2025
Certification Date: 01/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 S PACA ST
BALTIMORE MD
21201-1771
US

IV. Provider business mailing address

528 HEATHLAND TRL
ABERDEEN MD
21001-3652
US

V. Phone/Fax

Practice location:
  • Phone: 667-214-1800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR203544
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: