Individual provider · Type 1 NPI

Olga Dekhtiareva, CRNP ADULT

Adult Health Nurse Practitioner · Rockville, MD

NPI number 1336377498 Active

Practice location

15825 Shady Grove Rd, 140
Rockville, MD 20850-4008

Fax (301) 216-2592

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XR180041 (MD)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1336377498

Olga Dekhtiareva, CRNP ADULT's National Provider Identifier is 1336377498, issued on Jun 29, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Rockville, MD. The record was last updated on Jun 25, 2014.