Provider Demographics
NPI:1003974320
Name:GILLESPIE, DEBORAH ANNE (ND, CDM)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANNE
Last Name:GILLESPIE
Suffix:
Gender:F
Credentials:ND, CDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 GLACIER AVE
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-1845
Mailing Address - Country:US
Mailing Address - Phone:907-463-2600
Mailing Address - Fax:907-463-2675
Practice Address - Street 1:800 GLACIER AVE
Practice Address - Street 2:SUITE 100A
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-1845
Practice Address - Country:US
Practice Address - Phone:907-463-2600
Practice Address - Fax:907-463-2675
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK42175F00000X
AK38176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered175F00000XOther Service ProvidersNaturopath
Not Answered176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKNM98881Medicaid