Provider Demographics
NPI:1740408087
Name:ALBAN, DEBORAH E (RN)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:E
Last Name:ALBAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 CLUMBER HL
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD FOREST
Mailing Address - State:MD
Mailing Address - Zip Code:21405-2004
Mailing Address - Country:US
Mailing Address - Phone:410-849-3118
Mailing Address - Fax:
Practice Address - Street 1:1411 CEDAR PARK RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3201
Practice Address - Country:US
Practice Address - Phone:410-222-1615
Practice Address - Fax:410-222-1617
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR072464163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4401Medicaid