MRS. DEBORAH CRIVELLO (NPI# 1780749044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780749044 |
| Entity Type | Individual |
| Full Name | MRS. DEBORAH CRIVELLO |
| Credential | CRNP |
| Practice Address |
2027 Pulaski Hwy Ste 207 Havre De Grace MD 21078-2143 |
| Practice Telephone | 4438436100 |
| Practice Fax Number | 4438436130 |
| Mailing Telephone | 4438436100 |
| Mailing Fax Number | 4438436130 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2015-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R050918 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2027 PULASKI HWY STE 207 |
| City | HAVRE DE GRACE |
| State | MD |
| Zip Code | 21078-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081003 | Robert E Rapp Jr. | Internal Medicine | 2027 Pulaski Hwy, Suite 203, Havre De Grace, MD 21078-2143 | 2005-05-31 |
| 1013270560 | Megan E. Crawford | Social Worker | 2027 Pulaski Hwy, Suite 206, Havre De Grace, MD 21078 | 2012-06-20 |
| 1093023632 | Shabnam Naseer | Internal Medicine | 2027 Pulaski Hwy, Suite 203, Havre De Grace, MD 21078-2143 | 2010-09-16 |
| 1215249834 | Donovan Rochlitz Clifford | Physical Therapist | 2027 Pulaski Hwy, Ste 119, Havre De Grace, MD 21078-2143 | 2010-07-12 |
| 1427294875 | Patrick Wallace | Physical Therapist | 2027 Pulaski Hwy, Havre De Grace, MD 21078-2143 | 2009-01-06 |
| 1366609273 | Eleisha Danielle Flanagan | Surgery | 2027 Pulaski Hwy, Ste 205, Havre De Grace, MD 21078-2143 | 2008-05-19 |
| 1093902793 | Upper Chesapeake Primary Care,llc | Internal Medicine | 2027 Pulaski Hwy, Suite 203, Havre De Grace, MD 21078-2143 | 2007-09-27 |
| 1033250048 | Julie L. Ducharme | Internal Medicine | 2027 Pulaski Hwy, Swan Creek Village Center, Suite 207, Havre De Grace, MD 21078-2143 | 2007-02-11 |
| 1194878355 | Alexander Ranjit Aurora | Surgery | 2027 Pulaski Hwy, 205, Havre De Grace, MD 21078-2143 | 2007-01-19 |
| 1861590655 | Physiotherapy Associates - Union Rehab LLC | Clinic/Center | 2027 Pulaski Hwy, Suite 119, Havre De Grace, MD 21078-2146 | 2006-09-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265076327 | Shannon Mona Lane | Social Worker | [email protected], 609 Peace Chance Dr., Havre De Grace, MD 21078 | 2019-11-01 |
| 1134699788 | Amanda Graziano | Speech-Language Pathologist | 201 Oakington Rd, Havre De Grace, MD 21078 | 2018-11-27 |
| 1689111551 | Barbara Rene-darbouze | Counselor | 400 Lewis Street, Havre De Grace, MD 21078 | 2017-01-30 |
| 1598136459 | Proud and Positive Treatment Services Inc. | Clinic/Center | 602 Revolution St., Suite 103, Havre De Grace, MD 21078 | 2015-10-16 |
| 1427426337 | Leodegario Ayson Najera Sr. | Surgery | 121 Flying Ebony Place, Havre De Grace, MD 21078 | 2015-09-09 |
| 1669857538 | Connie Dausch | Counselor | 100 St John Street, Suite 1, Havre De Grace, MD 21078 | 2015-07-21 |
| 1659777225 | Doris Stacy Fair | Counselor | 501 South Union Ave., Harford Memorial Hospital, Havre De Grace, MD 21078 | 2014-11-10 |
| 1871995860 | Faith Ku | Pharmacist | 1000 Pulaski Highway, Havre De Grace, MD 21078 | 2014-09-22 |
| 1376889121 | Lorien Life Center Harford II, Inc. | Skilled Nursing Facility | 1501 Blenheim Farm Lane, Havre De Grace, MD 21078 | 2012-12-26 |
| 1396000790 | Pdom Havre De Grace | Dentist | 2021 Pulaski Highway Units A and B, Havre De Grace, MD 21078 | 2012-07-11 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | 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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013372705 | Constance Noll | Nurse Practitioner | 501 S Union Ave, Havre De Grace, MD 21078-3409 | 2015-12-22 |
| 1114206620 | Sara Marie Hickey | Nurse Practitioner | 501 S Union Ave, Havre De Grace, MD 21078-3409 | 2011-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961250 | Cassandra Jordan Holmes | Nurse Practitioner | 10 Center Drive Lcim Niaid Nih, Bethesda, MD 20892-0001 | 2020-10-30 |
| 1962000679 | Laly Sorto | Nurse Practitioner | 923 S Curley St, Baltimore, MD 21224-4825 | 2020-10-14 |
| 1841897139 | Ha Le | Nurse Practitioner | 160 Ritchie Hwy, Severna Park, MD 21146-1120 | 2020-10-08 |
| 1386241685 | Audrey Roxanne Mathew | Nurse Practitioner | 546 N Frederick Ave # 1490, Gaithersburg, MD 20877-2504 | 2020-10-08 |
| 1093312209 | Shelby Bruno | Nurse Practitioner | 29 S Greene St Fl 2, Baltimore, MD 21201-1504 | 2020-10-01 |
| 1295342772 | Gilead Associates LLC | Nurse Practitioner | 206 Mulberry Ridge Ct, Pasadena, MD 21122-7514 | 2020-09-28 |
| 1659986735 | Tatyana Vladimirovna Valentin | Nurse Practitioner | 490 Cadmus Ln Ste 102, Easton, MD 21601-4091 | 2020-09-15 |
| 1205440328 | Courtney Lavon Phillip | Nurse Practitioner | 4461 Pleasant Hill Ct, Pomfret, MD 20675-3104 | 2020-09-04 |
| 1386256634 | Steven Carroll | Nurse Practitioner | 731 Crisfield Way, Annapolis, MD 21401-4576 | 2020-08-18 |
| 1346850666 | Cynthia Adwoah Mireku-baabu | Nurse Practitioner | 19241 Sharon Dr, Hagerstown, MD 21742-2433 | 2020-08-01 |
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| City | HAVRE DE GRACE |
| Zip Code | 21078 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.