Provider Demographics
NPI:1538566849
Name:DARINGER, DEBORAH (CRNP/CNS-PMH)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:DARINGER
Suffix:
Gender:F
Credentials:CRNP/CNS-PMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5012 RIPPLING RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-3632
Mailing Address - Country:US
Mailing Address - Phone:410-228-2662
Mailing Address - Fax:410-228-2662
Practice Address - Street 1:2336 GODDARD PKWY
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-1126
Practice Address - Country:US
Practice Address - Phone:410-334-6961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-02
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR106284364SP0809X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD346646OtherMHN
MD609550001Medicaid
MD609550002Medicaid
MDR968OtherCAREFIRST BLUE CHOICE
MD522156095OtherCOMMERCIAL
7840093OtherAETNA
MDLM49EAOtherCAREFIRST LOCAL
MD742LMedicare PIN