Body, Deborah Anne

Body, Deborah Anne is an individual health care provider with primary practice located at 2445 State Route 30 , Tupper Lake NY 12986-2502. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Body, Deborah Anne can be contacted via phone (518) 554-8087.

Contact Information

Primary practice address
2445 State Route 30 Tupper Lake NY 12986-2502
Phone: (518) 554-8087
Fax: (518) 359-4133
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 438972 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 331877 New York

Profile Details

NPI number 1194718387
LBN Legal business name Body, Deborah Anne
Credentials DNP, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Mar 4th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194718387 NPPES
New York MEDICAID Q2620560

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