Provider Demographics
NPI:1831108422
Name:FOERTER, DEBORAH S (NP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:S
Last Name:FOERTER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14090-710 HG TRUEMAN ROAD
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:SOLOMONS
Mailing Address - State:MD
Mailing Address - Zip Code:20688-3035
Mailing Address - Country:US
Mailing Address - Phone:410-499-6602
Mailing Address - Fax:410-499-6605
Practice Address - Street 1:14090-710 HG TRUEMAN ROAD
Practice Address - Street 2:SUITE 2300
Practice Address - City:SOLOMONS
Practice Address - State:MD
Practice Address - Zip Code:20688-3035
Practice Address - Country:US
Practice Address - Phone:410-499-6602
Practice Address - Fax:410-499-6605
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR100681363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD015573600Medicaid