| Doctor Name: | DEBORAH HENNEN |
| NPI Number: | 1023024734 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | COOO1429 |
| Business Practice Address: | 1500 Forest Glen Rd Silver Spring, MD - 209101483 |
| Business Phone Number: | 3017547000 |
| Business Fax Number: | |
| Mailing Address: | Po Box 3277, SILVER SPRING |
| State: | MD |
| Postal Code: | 209183277 |
| Phone Number: | 3016811585 |
| Fax Number: | |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | COOO1429 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |