Provider Demographics
NPI:1568024008
Name:DELUCA, CAREY MARTINEZ (FNP-C, AGNP)
Entity Type:Individual
Prefix:MRS
First Name:CAREY
Middle Name:MARTINEZ
Last Name:DELUCA
Suffix:
Gender:F
Credentials:FNP-C, AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 PICEA VIEW CT
Mailing Address - Street 2:
Mailing Address - City:DERWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:20855-2580
Mailing Address - Country:US
Mailing Address - Phone:410-804-8639
Mailing Address - Fax:
Practice Address - Street 1:50 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20422-1214
Practice Address - Country:US
Practice Address - Phone:202-745-8000
Practice Address - Fax:202-745-8231
Is Sole Proprietor?:No
Enumeration Date:2019-07-05
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR197432363LG0600X, 363LA2200X, 2084N0400X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily