Ms. Theresa L Dematteo Pugh
MS CRNP | Nurse Practitioner - Pediatrics
4924 Campbell Blvd, Suite 200, Nottingham
Maryland, 21236-5908
443-442-2300
Ms. Theresa L Dematteo Pugh is a Nottingham, Maryland based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Ms. Theresa L Dematteo Pugh is R076644 for Pediatrics in Maryland. Her current practice location is 4924 Campbell Blvd, Suite 200, Nottingham. Patients can reach her at 443-442-2300 or can fax her at 443-442-2360. Ms. Theresa L Dematteo Pugh is MS CRNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1841390713.
Ms. Theresa L Dematteo Pugh specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Ms. Theresa L Dematteo Pugh speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Theresa L Dematteo Pugh |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | MS CRNP |
| Practice Address: | 4924 Campbell Blvd, Suite 200, Nottingham,
Maryland, 21236-5908 |
| Phone: | 443-442-2300 |
| Fax: | 443-442-2360 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1841390713 |
| NPI Enumeration Date: | 22 Sep, 2006 |
| NPI Last Update On: | 09 May, 2013 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Theresa L Dematteo Pugh are as mentioned below.
| License Number | Specialization | State | Status | |
| R076644 | Pediatrics | Maryland | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Theresa L Dematteo Pugh such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 622361300 | Medicaid | Maryland | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Theresa L Dematteo Pugh
3100 Wyman Park Dr,
Baltimore, Maryland |
| Zip: | 21211-2803 |
Patients can reach Ms. Theresa L Dematteo Pugh at
4924 Campbell Blvd, Suite 200, Nottingham, Maryland or can
call to book an appointment on 443-442-2300.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.