Kathy Deguzman

Individual provider Active NPI Pediatric Nurse Practitioner · Washington, DC

NPI 1982158531 · NPPES record last updated Aug 12, 2016

Key facts

NPI
1982158531
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
RN1026215 (DC)
Practice address
111 Michigan Ave NW
Childrens National Medical Center
Washington, DC 20010-2916
Phone
(202) 476-5000
NPI assigned
Aug 12, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1026215DCMDPediatric Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN1026215 DC Yes

Addresses

Primary practice location

111 Michigan Ave NW
Childrens National Medical Center
Washington, DC 20010-2916

Mailing address

111 Michigan Ave NW
Childrens National Medical Center
Washington, DC 20010-2916

Other providers in Washington, DC

All providers in Washington, DC · Pediatric Nurse Practitioner in District of Columbia

Sources for this page

Verify at the official NPI Registry.