Provider Demographics
NPI:1124468582
Name:CLEVELAND, DEBORAH ANN (RN, MS, FNP-BC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:CLEVELAND
Suffix:
Gender:F
Credentials:RN, MS, FNP-BC
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:REAGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8401 CONNECTICUT AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5829
Mailing Address - Country:US
Mailing Address - Phone:301-907-3960
Mailing Address - Fax:
Practice Address - Street 1:8401 CONNECTICUT AVE STE 201
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-5829
Practice Address - Country:US
Practice Address - Phone:301-907-3960
Practice Address - Fax:301-652-4933
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY337935363LF0000X
CA95004908363LF0000X
DCRN1023748363LF0000X
MDR189457363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily