Deetz, Deborah N.

Deetz, Deborah N. is an individual health care provider with primary practice located at 7850 Jefferson St Ne Ste 300 , Albuquerque NM 87109-4314. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Deetz, Deborah N. can be contacted via phone (505) 884-1114.

Contact Information

Primary practice address
7850 Jefferson St Ne Ste 300 Albuquerque NM 87109-4314
Phone: (505) 884-1114
Fax: (505) 856-6320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R20928 New Mexico

Profile Details

NPI number 1770570392
LBN Legal business name Deetz, Deborah N.
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Apr 8th, 2015 - about 9 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 1770570392 NPPES
New Mexico MEDICAID 06525067
New Mexico Other 379487YX2Z

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