Provider Demographics
NPI:1629087184
Name:APPERSON, DEBRA S (CRNP)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:S
Last Name:APPERSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7450 ALBERT RD
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-3035
Mailing Address - Country:US
Mailing Address - Phone:301-599-0460
Mailing Address - Fax:301-599-0463
Practice Address - Street 1:1458 ADDISON RD S
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-4413
Practice Address - Country:US
Practice Address - Phone:301-324-1500
Practice Address - Fax:301-324-6405
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR082147363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD141404600Medicaid
008476G75Medicare ID - Type Unspecified
MD141404600Medicaid