Healthcare Provider Details

I. General information

NPI: 1811484132
Provider Name (Legal Business Name): DEBORAH CHIELLI AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2018
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 E OAK RIDGE DR STE 1100
HAGERSTOWN MD
21740-7793
US

IV. Provider business mailing address

104 MISSOURI CT
FREDERICK MD
21702-6450
US

V. Phone/Fax

Practice location:
  • Phone: 240-382-1312
  • Fax:
Mailing address:
  • Phone: 570-881-5857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR229002
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberR229002
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: