Provider Demographics
NPI:1811231723
Name:SCHUCHARDT, DEBORAH (CRNP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:SCHUCHARDT
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 1:295 STONER AVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5698
Mailing Address - Country:US
Mailing Address - Phone:410-848-7117
Mailing Address - Fax:410-857-8575
Practice Address - Street 1:295 STONER AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5698
Practice Address - Country:US
Practice Address - Phone:410-848-7117
Practice Address - Fax:410-857-8575
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR097434363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health