MEDICARE: MRS. DEBORAH E ALBAN RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WS0200X	School Registered Nurse	R072464	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740408087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBORAH E ALBAN RN

Provider Business Mailing Address
First Line	:	1024 CLUMBER HL
Second Line	:
City	:	SHERWOOD FOREST
State	:	MD
Zip	:	21405-2004
Country	:	US
Telephone Number	:	410-849-3118
Fax Number	:

Provider Business Practice Location Address
First Line	:	1411 CEDAR PARK RD
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-3201
Country	:	US
Telephone Number	:	410-222-1615
Fax Number	:	410-222-1617

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	07/09/2007

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