| Doctor Name: | MAUREEN P DEGRANGE |
| NPI Number: | 1194906602 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R158812 |
| Business Practice Address: | 19 W. Frederick Street Walkersville, MD - 21793 |
| Business Phone Number: | 3018456336 |
| Business Fax Number: | 3018456136 |
| Mailing Address: | 610 Solarex Ct, FREDERICK |
| State: | MD |
| Postal Code: | 217038624 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/27/2007 |
| NPI Last Update Date: | 04/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R158812 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |