Serba, Deborah A

Serba, Deborah A is an individual health care provider with primary practice located at 2301 S Broad St , Philadelphia PA 19148-3542. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Serba, Deborah A can be contacted via phone (215) 952-9323.

Contact Information

Primary practice address
2301 S Broad St Philadelphia PA 19148-3542
Phone: (215) 952-9323
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 26NO06151300 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN185025L Pennsylvania

Profile Details

NPI number 1134124621
LBN Legal business name Serba, Deborah A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Mar 4th, 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 1134124621 NPPES
Pennsylvania MEDICAID 1016352940001

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