Organization · Type 2 NPI

Debobeth Medical Center

Nurse Practitioner · Baltimore, MD

NPI number 1871074096 Active

Practice location

3109 Erdman Ave
Baltimore, MD 21213-1765

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRI33965 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

6 other providers at this address

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About NPI 1871074096

Debobeth Medical Center's National Provider Identifier is 1871074096, issued on Aug 25, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Baltimore, MD. The record was last updated on Apr 17, 2026.