Provider Demographics
NPI:1437410917
Name:NELSON, DEBORAH E
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:E
Last Name:NELSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:647 AUDREY LN
Mailing Address - Street 2:APT. T2
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-2638
Mailing Address - Country:US
Mailing Address - Phone:301-839-1085
Mailing Address - Fax:
Practice Address - Street 1:647 AUDREY LN
Practice Address - Street 2:APT. T2
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-2638
Practice Address - Country:US
Practice Address - Phone:301-839-1085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide