Landry Deuboue
Nurse Practitioner Nurse Practitioner - Gerontology Nurse Practitioner - Primary Care
157 Baltimore St
Cumberland
, Maryland 21502-2472
Landry Deuboue
Nurse Practitioner Nurse Practitioner - Gerontology Nurse Practitioner - Primary Care
157 Baltimore St
Cumberland
, Maryland 21502-2472
(833) 903-0130
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Gerontology
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Landry Deuboue
- 157 Baltimore St
- Cumberland, MD
- Zip : 21502-2472
- Fax : (833) 903-0130
- Phone : (240) 727-3995
Second Address
- Landry Deuboue
- 157 Baltimore St
- Cumberland, MD
- Zip : 21502-2472
- Fax : (833) 903-0130
- Phone : (240) 727-3995
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AC002868 | MD |
| N | 363LG0600X | Nurse Practitioner - Gerontology | AC002868 | MD |
| Y | 363LP2300X | Nurse Practitioner - Primary Care | AC002868 | MD |
National Provider Identifier
| NPI | 1013337252 |
|---|---|
| Provider Name | Landry Deuboue |
| First Address | Cumberland, MD 21502-2472 |
| Second Address | Cumberland, MD 21502-2472 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2014 |
| Last Update Date | 25/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.